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Speaker Request Form
Thank you for your enquiry to have Rev Rodrigo Assis da Silva speaking at your church or event. It is an honour we don't take for granted! Please fill out the request form and click "submit" once you are finished. You will receive a message confirming we received your request and later on a member of our team will be in touch.
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Email
*
Your email
TYPE & NAME OF THE EVENT
*
e.g.: church service, conference, seminar, webinar, online meeting, podcast, interview, etc.
Your answer
EVENT HOST / ORGANISER
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Name of the church, ministry or institution organising the event.
Your answer
EVENT LOCATION
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Venue name, address, city, state, country. If it is an online event, the platform used (e.g.: Zoom, Microsoft Teams, Google Meet, etc.)
Your answer
EVENT DATE(S):
*
From
MM
/
DD
/
YYYY
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To
MM
/
DD
/
YYYY
No. OF TIMES EXPECTED TO SPEAK
*
Choose
1
2
3
4
5
LENGTH OF EACH MESSAGE
*
Choose
10 min
20 min
30 min
40 min
50 min
1 hour
EXPECTED NO. OF ATTENDEES
*
Choose
up to 20
20 to 50
50 to 100
100 to 200
200 to 500
500 to 1.000
1.000 to 2.000
2.000 to 5.000
5.000 to 10.000
CONTACT PERSON NAME
*
Your answer
CONTACT PERSON EMAIL
*
Your answer
CONTACT PERSON PHONE
*
Your answer
FURTHER INFORMATION / DETAILS
*
Feel free to share any other information or details that might be relevant for us to know, e.g.: What is the focus or theme of the event? What
A/V equipment will be available? What is the l
anguage of the event? Are there other speakers being invited to this event? Who?
Your answer
Disclaimer
*
By submitting this form, you consent to All4Aid storing your responses and sharing it with the All4Aid personnel responsible for managing the speaking events. Your submitted information will be stored securely in accordance with the GDPR procedures and it will not be sold or shared outside of the above mentioned scope. After your request has been processed, you can request that your information is deleted from All4Aid files by contacting us at:
info@all4aid.org
.
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