Speaking Request Completing this form is not a guarantee of booking or a completed booking. Date of Request * MM DD YYYY Church/ Organization Name * Leader Name * For churches, please provide the name of the Senior Pastor. Contact Name * First Name Last Name Contact Email * Contact Phone * (###) ### #### Church/ Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Ministry/ Event Website * http:// Event Details * Theme, Event Name, Purpose, Vision, Goal Date Requested * What date are you requesting to book? MM DD YYYY Select Request type * Conference Weekend Services Midweek Service Conference & Weekend Services Ministry Consulting Book Signing Other Audience Type Please note, if your invitation is for a conference and weekend services, please select the audience type which fits the conference. General Women Men Leaders Youth Expected Attendance * 200+ 100-199 Less than 100 Previous Conference Attendance How many years have you been holding this conference? Estimated Service Attendance * If your invitation is for a Conference only, please enter her (0). I'm prepared to provide an honorarium. * After we've reviewed your invitation, we will contact you to discuss the specific honorarium amount. Yes No Will the sale of the speaker’s products or merch be permitted? * Yes No Will there be available personnel to organize & manage the product table? * Yes No Maybe Will there be additional guests or speakers? * Yes No To Be Determined Please provide any additional details related to the event and/or booking request. * Attire, house protocol, etc. Event Format * Will your event be...? In- Person Virtual Does your event require travel outside the U.S.? * If you answered "In-Person" above please complete this section. Yes No Can you cover the required travel expenses? * We request that the following travel expenses be covered, - One refundable round-trip business class ticket and one hotel room in a full-service property close to the venue. - Please note that fore events in the US, we ask that you also cover expenses for one or two travel assistants, including round-trip-non-refundable economy class ticket(s) and one hotel room in a full service property close to the venue. Yes Np Venue Address Complete only if different from the Church/ Organization's address. Address 1 Address 2 City State/Province Zip/Postal Code Country What is the nearest major airport to the venue? Is a visa required to enter your country? International only. Yes No What is the dominant language spoken (other than English)? Will an interpreter be used? Yes No Virtual Details If you answered "Virtual" above, please complete this section. Live Pre-recorded Virtual message length i.e., 35 minutes, 40 minutes, etc. Recording Delivery Date Please enter the specific date or period of time prior to the event (i.e, 2 weeks) that your media team will need the recorded message sent to them. Additional comments Thank you for considering me to be a part of your event!Please allow 48 hours to receive a response from our team.iamsharenda
