Request Form

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Request Form

Request form for Cornelius Lindsey

Email *

What would you like Cornelius to do? *

Speak at Event/Church (Virtual or Live)

Podcast/Radio Interview

Magazine Interview

Corporate Event

Television Appearance

Mentorship/Coaching

Foreword for Book

What is the proposed date for the event? If it's multiple dates, please list them below. *

If the request is NOT an event, please provide clear instructions detailing Cornelius role.

What is the information (website, social media, etc.) for the requesting organization? *

Name of Contact Person *

Primary Contact Number *

Primary Contact Email *

Please note that someone from Cornelius’ team will be in contact you concerning your request. Please give us at least 48 hours to process your request. If it is approved by Cornelius, you will be sent a document detailing all the information you need to fulfill the request. Thanks!

Send me a copy of my responses.

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