Request to Speak

Request to Speak

I am grateful for the invitation to speak at your event or church service. Filling out this form allows me to serve you with excellence. Please let me know if there are any other expectations you request from me.

Once submitted I will review it and be in contact soon.

Person and organization making request

Organization / Church Name*

Address & Entrance details

Please share any information that would help me get to the correct location and or Point of Contact.

Point of Contact Name*

Point of Contact Email*

Point of Contact Phone Number*

Phone

Image of Point of Contact

Helps me locate you if we haven't met.

Drag and drop files here or

Person requesting (if not point of contact)

Day of Event Details

Please offer any information that will help me prepare for your event.

What is the preferred day you are requesting?*

Second, option?

In case there is a conflict in my schedule.

Subject I am asked to speak on?

I can share the mission of LoveINC and how your members can partner. Or if there is a theme or specific subject for the event you would like me to address? Are there any other expectations you have of me?

How long am I expected to share?*

Select or enter value

Can I share a 3 minute video?*

If yes, a link will be to sent to point of contact email.

Select or enter value

Will have use of a microphone?*

Select or enter value

Table for brochures

Select

Any additional information I should know?

Is there an agenda that is being followed by your team?

Am I speaking at the beginning or end of the event?

When should I arrive if different than speaking time? etc...

Send me a copy of my responses

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