Contact Cheryl Jackson – Dr. Cheryl Action Jackson

Please complete the form below

Name

Phone

Company

Website

Name of Event

Date of Event

Location of Event

Message

Please describe your audience demographic (i.e. age, geographic region, psychographic profile, etc):

Is this the first time you are hosting this event?

Yes No

If no, how many attendees did you have at the last event?

Please describe your marketing plan to fill the event:

Are you selling products or programs at the event?

Yes No

Will we be able to sell our products and programs at the event?

Yes No