Thank you for considering Rich to come speak at your event. Once you complete this form, we will be in touch regarding Rich’s potential availability and participation.
Church or Organization putting on this event
Event/Church/Organization Website
Type of Event
Event Date Start
Event Date End
Preferred subject topic or theme you would like Rich to speak about
Would you like Rich to speak on a single day or multiple days? Which day/s of your event?
How many times would you like Rich to Speak?
Time allotted for each speaking session
Event Venue Name
Event Venue City
Event Venue State
Event Venue Country
Who will be attending this event? (pastors, graduate students, ministry leaders, etc)
Total estimated attendance
General age group of the attendees
Date/time you would expect Rich to arrive at the event
Date/time Rich would be able to return home from the event
Honorarium amount budgeted
How will the honorarium be given to Rich?
Would there be interest in purchasing Rich’s books to sell during/after your event?
Travel time/distance from airport to event location
Will the event cover the cost of Rich’s round trip flight?
Will the event provide transportation to/from Rich’s local airport, airport near event, hotel, event location?
If transportation is not provided by the event, will the event reimburse ground transportation expenses for rental car and or Uber/Taxi?
Will the event cover the cost of hotel accommodations?
Will the event book the hotel or would you like for us to and be reimbursed for the cost?
As part of Rich’s commitment to leadership development, he believes in inviting other leaders, staff or family members to accompany him. Will you cover additional travel expenses to accommodate this priority?
Any additional information you would like us to know
Latest date you need to receive a response by?
Contact Full Name
Cell
Email
