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Speaking Engagement Booking
Name
*
Email
*
Phone
*
Your Church/Ministry/Organization
*
Staff Member Requested
*
Which staff member would you like to speak at your event?
Event Title
*
Date and Time of Event
*
Month
Month
Day
Year
Time
:
Hours
Minutes
AM
Event Address
*
Expected Attendance
*
How many sessions are you requesting?
*
What would you like us to speak about at each session?
*
Will there be space for us to set up a resource table?
*
Yes
No
Will an honorarium be provided?
*
Yes
No
If necessary, will travel and hotel expenses be covered/reimbursed?
*
Yes
No
Do you need help advertising the event?
*
Yes
No
Any additional/necessary information
Submit
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