Dear Event Organizer(s):

Thank you for requesting Mukhtar Muhammad be a part of your event.

As an author, national commentator, business and community leader, Mukhtar Muhammad is a recognized consultant on topics as diverse as strategic planning, internal community development, governance, operating documents review, process design and systems management to business development. He is available as keynote speaker, panelist, or moderator and also has experience leading workshops and seminars.

For those interested in longer term projects involving institutional consulting in the areas of leadership, organization, planning and management, you may use this same form and indicate request for consulting with a description of the project.

Please complete the following request form and expect a reply normally within 24-48 hours.

Organization Name
Location (City/State)
Event Dates(s)
Enter date as dd/mm/yyyy
Event Time(s)
Target Audience
Expected Number of Persons Attending
Describe what you are requesting of Mukhtar, e.g. Consulting, Training, etc.
Total Event Presentations Requested
Provide brief history of event, e.g. annually held, purpose, previous speakers, past attendance:
Description of your organization, e.g. for profit, when established, size of membership, etc.
Organization Phone Number: *
Organization Website
Your Name and Title*
Your Telephone Number:
Your Email
Best time to contact you:
What is/are the goals for this event?
If you are publicizing event in your local media, should I expect interviews?
Additional Comments

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