Thanks for your interest in booking Chip for a speaking or teaching event. Please give us a bit more information and we will contact you shortly Organization Name * Contact Name * First Name Last Name Contact Email * Contact's Phone Number * Date of Event * Location * Audience Description * Keynote 1/2 Day Presentation Full Day Presentation Multi-Day Presentation Other Approximate # of Attendees * Theme / Topic of Interest * About Us: In 1-2 sentences, please tell us about your organization * Thank you!