NFL AGENT • ENTREPRENEUR • SPEAKER • PHILANTHROPIST

Media & Speaking Inquiry

Empowering Athletes, Veterans, and Communities Through Strategy, Advocacy, and Innovation.

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Event / Show / Program Name Format
 
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Primary Audience
What topics would you like Chas to speak on or discuss? (Check all that apply)
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(Required for speaking, workshops, and corporate engagements)
Is this a paid opportunity?
Proposed Budget or Speaker Fee Range
Will travel and accommodations be covered if applicable?
Media Format
Estimated Reach / Viewership / Downloads
Will the interview be live or recorded?
Will content be repurposed or syndicated?
Will this engagement be recorded?
Do you grant permission for clips to be repurposed on social media and marketing channels?
How did you hear about Chas Sampson?
By submitting this form, you acknowledge that:
  • Submission does not guarantee availability or acceptance
  • All requests are reviewed by management
  • You will be contacted if the opportunity aligns