Request Form

Melissa Vassallo Idiens is among Canada's sought after Disability Advocates and Speakers.

If you are interested in booking her or hiring her for your event, please fill out the below form completely.

First Name (required)

Last Name (required)

Email Address (required)

Company Name (required)

Phone Number (required)

How did you hear about Melissa Vassallo Idiens?
Saw her at another speaking eventFriendSocial Network (Facebook, Twitter etc.)YouTubeMediaNewsletter

Event Date (required)

Event Time (required)

Available budget (required)
You can suggest a budget range or specific amount.

Event Details
Please explain the nature of the event or gig you would like to hire Melissa for.