Sister Caryette Muhammad, Poet/Spoken Word Artist
Speaking/Presentation Request Form

Contact Person____________________________________Organization____________________________________ 
Address________________________________________________________________________________________ 
City____________________________________________________State___________________Zip______________ 
Telephone_______________________________________ E-mail__________________________________________ 
Please describe your event and/or provide website with more details: _______________________________________________________________________________________________ 
_______________________________________________________________________________________________ 
Date & Time ________________________ If date not selected yet, provide potential date(s)_____________________ 
Location ________________________________________________________________________________________ 
How do you plan on utilizing Sister Caryette’s poetry talent? (i.e., keynote speaker, do a reading, lead workshop, etc.) 
_______________________________________________________________________________________________ 
Length of time_________________________ Approx. # of attendees____________________ 
Will Sister Caryette be able to sell books at venue/event? ______________________ 
How will Sister Caryette be promoted? _______________________________________________________________ 
Are there any special requests, i.e., poetry categories, appearance (clothing), etc.? ____________________________

Speaking Fees & Travel Expenses 
The title of Poet/Spoken Word Artist is the greatest honor of Sister Caryette’s life! This honorable title, however, does not include any compensation or funding for travel, expenses or time. Therefore … 
Speaking Fee/Honorarium 
Speaking Fee Negotiable - for K-12 schools, military and tax-deductible charity events 
$250 - for most venues and events (i.e., conferences, universities, public libraries, cultural events, etc.) 
$300 - $500 – for large or full-day events; varies based on distanced traveled and nature of event 
Travel Fees 
For speaking engagements outside a 50 mile radius of Los Angeles, California, lodging plus one meal per day must be provided. If a flight is required, airfare and transportation must be provided. 
Is event located 50 miles outside of Los Angeles? ______________ 
If Yes, will you (or a local sponsor) provide lodging and one meal per day? ______________ 
If Yes, will Sister Caryette be home-housed or will hotel accommodations be provided? ______________ 
Please return this form as soon as possible to by USPS mail, FAX, or eMail: 
MAIL:  c/o Sister Caryette Muhammnad, 3818 Crenshaw Blvd., Suite 256, Los Angeles, CA 90008 
FAX: (323)  296-3332
EMAIL: yosistah19@gmail.com
Call Sister Caryette 
PHONE: (213) 444-6168
Thank you.