Speaking Request

Please complete this form to request one of our pastors to speak at your service or event.

First name

Last name

Phone

Church or Organization

Website

Lead Pastor

Address

Point of Contact Name

Point of Contact Email

Event Name

Event Type/Theme

Event Address

Event Date(s) and Time(s)

Speaking Date(s) and Time(s)

Number of Times Speaking

Expected Attendance

Expected Honorarium

Additional Event Details

Do you agree to provide hotel accommodations for the speaker and their spouse or guest?

Yes

Hotel Name and Address

Do you agree to reimburse us for the costs of flights for the speaker and their spouse or guest?

Yes

What is the nearest airport to the event location?

Do you agree to provide transportation or reimburse us for the cost of a rental car?

Yes

If providing transportation, please give us the name and phone number of the driver.

Do you agree to provide or reimburse us for all meals for the speaker and their spouse or guest?

Yes

Thank you for submitting!

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