Have Me Speak

To have me speak at YOUR next event, please fill out this form and I’ll get back with you ASAP.

Have Me Speak Form

Name

First Name

Last Name

Ministry Name

Email Address

Phone Number

(###)

###

####

Event Information

Start Date

MM

DD

YYYY

Start Time

Hour

Minute

Second

End Date

MM

DD

YYYY

End Time

Hour

Minute

Second

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of Attendees (if known)

Event Description

Be sure to include the theme of the event and what you would like me to speak about.

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