Invite Leo to Speak

Please complete the form below to request for Leo N. Johnson to be a part of your event.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Organization

Description of Organization

Website

Address

Date of Event

YYYY

Time of Event

Hour

Minute

Second

Event Description

Is this a private or public event?

Private

Public

Expected Number of Attendees

Additional Comments

162 King William Street, Suite 103
Hamilton, ON, L8R 3N9