Reservation Form & Preliminary Invoice
1. In order to reserve a date, submit a fully-completed form. Fill in ALL BLUE BOXES.
2. Submit electronically to [email protected].
3. Keep a copy for your reference.
The presenter will “book” travel plans to coordinate with other ministry events and return to you an INVOICE.
Consult SPEAKER INFO at www.ParentTeacherSupport.org to obtain Speaker Bio/Curriculum Vita,
Program Descriptions, Suggestions to encourage parent participation, Venue-History, etc.
INVOICE: Payment due on-or-before the event.
Name & Position
Payable to SISTERS OF IHM
c/o Dr. Patricia M. McCormack, IHM
6328 Buist Avenue
Philadelphia, PA 19142-3097
Organization
Street Address
City,State,Zip
EIN= 23-1352569
Daytime Phone
Cell Phone
Mobile Phone: (703) 237-2891
E-mail
EQUIPMENT NEEDS: The presenter will bring a
Macintosh computer and adapter. Please provide an LCD
projector & screen, speakers for computer, podium, and a
glass of water. Duplicate handout(s). Pre-advertise sale of
books and CDs. Set up a sales table.
Meeting Site
(if different from above)
Audience(s)
Name of EVENT
LONG DISTANCE (200+ miles of one-way travel requires a Plane or Amtrak Train)
• Preference is direct, non-stop flight. In the blue box indicate which airlines fly direct
from PHL to your airport or the best carrier(s) from PHL to your airport. The presenter will
book travel and indicate the cost on the INVOICE (TBD).
(Airlines)
(Charge)
TBD
• In the blue box indicate the 3-Letter CODE for your Airport or Amtrak Station
(Code)
• In the blue box indicate how many minutes the presenter should allot in order to return to
the Airport or Train Station from your site.
(Time)
• Ground Transportation is a Site Responsibility. Provide pick-up/drop-off.
Communicate arrangements in advance of the travel date.
Site
Responsibility
• Airfare or Train Fare . . . Speaker will make arrangements.
TBD
• Transportation to/from PHL home and terminal = Taxi @ $20 per trip
$40.00
• Two-way Travel Meals. . . 2 @ $25
$50.00
• Meals during stay.
(# of Days)
(Charge)
Calculate ___#__ days @ $50 or Provide meals & indicate charge as $00.00
• Lodging is a Site Responsibility. NOW provide the name of a Convent or Hotel,
Address, Phone, Confirmation Number, and/or contact person (if applicable)
TOTAL TRAVEL EXPENSES
Site
Responsibility
1
Day & Date
Example:
Monday, 8/10/15
2
SPEAKER
TIME
Realistic
Start & Finish
AUDIENCE &
Expected Number
3
Topic/Title
Choose from Menu that is posted on
www.ParentTeacherSupport.org
4
+
FEE
(Refer to fee
schedule at the
end of this
document.)
$
$
$
+ Speaker Fees: Standard fees are listed at the end of this document. If the SPEAKER FEE presents a
financial hardship, please suggest a workable adjustment.
Indicate NEEDS related to the event. For instance: W9 form or Special Details of the Event
If you require a Letter of Validation/Good Standing provide the form or provide specifics related to it. For example:
Deadline to receive it, name and address of recipient, is electronic mail sufficient?
SPEAKER FEES: CONTINUE TO NEXT PAGE
SPEAKER FEE, 2017 – 2018 School Year
International Presentations
$2000 per Day + Expenses
Adult Presentations
PARENT PRESENTATION
(2 hours or less)
Each additional hour or part of an hour
$300
$50
EDUCATOR PRESENTATION
• Large-Group Gathering (Diocesan Day, Institute, Congress, Convention, etc.)
• Regional Gathering (5 or more Schools/Parishes Combined)
Break Out Session
Keynote Single Session (1.5 hours or less)
Half Day Presentation (3 hours or less)
Full Day Presentation (More than 3 hours)
• Combined Gathering (2, 3, or 4 Schools/Parishes)
Half Day Presentation (3 hours or less)
Full Day Presentation (More than 3 hours)
$400
$600
$1500
$2000
40% Discount
$900
$1200
• Single Organization
50% Discount
(School, Parish, Association of Principals/DREs, Catechists, Clubs)
* Keynote (1-1 ½ hour)
Half Day Presentation (3 hours or less)
Full Day Presentation (More than 3 hours)
$350
$500
$1000
Student Presentations
I accept invitations to speak with students only if I am on-site to give a presentation
for parents and/or teachers.
($200 initial hour. $50 for each additional hour or part-of-an-hour)
Kindergarten (15 minutes), Grades 1&2 (20 minutes); Grades 3&4 (30 minutes);
Grades 5&6 (45 minutes); Grades 7&8 (60 minutes); High School (45 -60 minutes).