Book Dr. KathyPlease complete the form below as we work to build a contract for your event Hosts Name * First Name Last Name Sponsor Email Sponsor Phone (###) ### #### Sponsoring Organization Date(s) of Event Event Location Address 1 Address 2 City State/Province Zip/Postal Code Country Speaker Dr. Kathy Koch Proposed Honorarium Amount Note that Dr. Kathy's current speaking rate is $8500/day Travel Stipend Note that Dr. Kathy typically requires travel, lodging, and meals for two people, approximately $1500 per event Event Details Event Name Event Theme Approximate Audience Size General Audience Description Venue Event Itinerary Thank you!