We are honored that you are interested in hosting an international conference facilitated by 4 Real Women International Inc. Since 2006 we have been offering a full package conferences in the Caribbean and Latin America. Attendees to our conferences leave inspired and empowered. 4RWI only presents one international conference per year. To provide you with the best service possible we invite you to take the time to complete and submit this form at least 10 months prior to your event date.

Name of hosting organization*

Name of contact person for organization:*

E-mail of contact person:*

Telephone:*

City and Country where conference will be held:*

Dates and Year of Conference*

How many attendees do you expect to attend this conference?:*

What are 3 goals you expect to accomplish with this conference?:*

What are the 5 greatest needs of the women and girls in your country?:*

Please state any additional comments here:

Where did you find out about 4RWI Empowerment Services:*
By recommendationOur organization has been serviced by 4RWI in the pastWe Have attended a 4RWI Program (LEAD!, VoW etc.)Online or at 4RWI websiteOn Facebook, twitter, Linked In, Tumblr, Instragram, PinterestOther.

If you chose other above, pleas specify:*

Terms of services:
A non-refundable booking fee of US $150, which serves as a down payment for services, is required to secure services of 4RWI Speakers.
For events and activities outside of the Tri-state area (NY,NJ,CT) organizers will need to consider overnight lodging and meals for the speaker.
All booking fees should be paid in advance at least one week before date of event.
Once you complete and submit this form a 4RWI Inc. representative will initiate contact about your request via e-mail or telephone.

Please type your name as proof that you have read and understand the terms of services stated above:*