SPEAKER REQUEST FORM
Please complete the form in its entirety and I will respond in 24-48 hours. Thank you for your request.
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Your name (First & Last) *
Ministry/Event Name *
Phone number *
Email address
Date of Event *
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DD
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Topic/Theme of Event *
Will I be able to sell my products? *
Will someone be available to assist me when I arrive? *
Other details I may need to know
My speaker fee is $200. I will review your request and provide a response within 24-48 hours. Thank you for your interest in having me speak at your event.
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