Cheese of Canada » Appearance Request Form

Appearance Request Form

First Name(required)
Last Name(required)
Email(valid email required)
Event Name
Event Location / Venue
Address
City
Province/State
Country
Event Contact Name
Event Phone Number
Event Cost
If there's no cost, then please fill in free.
Are Gurth's travel expenses covered?
Yes No
Is Gurth's book included in ticket price
Yes No
Seaking Fee
Event Date
Event Time
When Gurth would be speaking.
Other Speakers/ Topics?
Who else will be speaking at this event and what are their topics?
Event Website
Please include the detailed URL of where the event is described rather than a generic one or homepage for the company or organiaing group involved.
Event Description
In three or four sentences only, please describe your event. Mention any interesting cheesemakers, chefs, writers or others who'll be participating or attending.
Charitable Beneficiary
If this event is for a charitable organization, please name the charity and provide information describing the group or individuals it benefits.
Security Code