Thank you for your interest in our conferences. Mr. Otarola wishes to work closely with you to ensure a positive and enriching experience for everyone. He hopes that filling out this form will facilitate the process, so we thank you in advance for taking the time to complete it in its entirety.

Request Conference

Full name
Desired date of event
Conference type
Desired speaker

*You may able to select multiple options.

Who is going to be the main/Keynote speaker in your event?
How many plenary sessions would you like Lawrence and/or Xinia to present?
How many workshops or small-group sessions would you like Lawrence and/or Xinia to lead?
Date and time of each session
What topics would you like Lawrence to cover in each session ?
Approximate number of participants
Name address and phone number of organization.
Contact person's phone/fax/email address.
How did you hear about Marriage, Serious Business, or Lawrence and Xinia Otárola?( i.e. Who referred you? Do you know them personally? Via television or radio?)
What is the main reason for the event?
What is the location and exact address of the event?
Nearest Airport ?
Do you need pictures bios or other publicity materials from either Marriage Serious Business or Lawrence and Xinia Otarola ?
Can you provide room,board, and travel expenses for the event ?
Would you like to buy a copy for each participant and include in the per-person cost?
Would you be willing to cover room, board, and travel expenses for another member of our team, like a cameraman?
Additional Comments