We'll work with you to help ensure the success of your event!

Please take a few moments to tell us about your event by completing the brief inquiry form (below the helpful information section) and submitting it online to Randy's Business Manager. It is also available in printable form if you prefer to complete it offline and send it by fax or mail. Answering a few basic questions will help expedite a reply.


Helpful Information

  • Randy specializes as a motivational and educational KEYNOTE and GUEST SPEAKER at Fire and EMS-related conferences and events. 
  • His primary topic of “EMS/Fire Service – Then and Now” can be tailored to your particular event.
  • CEUs can be awarded for attending Randy’s presentations, depending upon your conference workshop curriculum. 
  • In addition to multiple day conferences, Randy also makes special guest appearances at various events, such as Awards Banquets, Annual Balls, etc.
  • Autograph/Meet-and-Greet sessions are typically included with all appearances. “Emergency!” and contemporary photographs and merchandise are for sale as part of Randy’s support of CLAFMA’s James O. Page Memorial Building Fund.
  • All inquiries, discussions, and arrangements are handled by Randy's Business Manager. Randy personally reviews, approves and signs all final contracts.
  • Professional fees are straightforward and discussed upfront. Standard expenses for travel and accommodations apply. As does any professional speaker, Randy maintains the integrity of his fee regardless of who the client is. Fees may vary depending upon the type and duration of your event and/or the number of additional activities requested.  
  • Travel is generally from Los Angeles, California.



Contact Information
Name & Title:
Organization:
Mailing Address:
City:
State:
Primary Phone:
Secondary Phone:
E-mail Address:
Website:
Event Information
Title or Theme:
Type of Event: Conference
(all that apply) Education / Workshop
Seminar
Awards Banquet
Fundraiser
Other:
Proposed Date or Timeframe:
Event Location (City, State):
We would like to hire Randy as our: Keynote Speaker
Guest Speaker
Other:
Attendee Information
Approxmate number of people expected:
Is your event: Public
Private
Who will be attending? (all that apply): Paramedics/EMTs
Firefighters
Nurses
Doctors
Media
Other:
Antispam
Please answer this simple math equation:		    =

*Binding agreement will be required in order to reserve the dates on Randy’s schedule.

Thank You for taking the time to complete this information. We will do our best to respond as quickly as possible. We appreciate your interest and look forward to providing our personal assistance to help make your event a highly successful one!

 

 Printable form (PDF) to fax or mail here