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Organization Name
Organization Address
Senior Pastor's Name (If Applicable)
Main Point Of Contact
Main Point Of Contact Email
Main Point Of Contact Cell
Address Of Event Site
What Are The Dates Of The Event?
Day(s) of the week requested to speak
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Start Date Requested To Speak
End Date Requested To Speak
Time(s) Requested To Speak
Timezone
Type Of Event
In-Person
Virtual
Brief Description Of Event
Allotted Speaking Time (Minutes)
Requested Topic To Speak On
Other Featured Guest Speakers (If Any)
Dress Attire
Estimated Number Of Attendees
Are Any Flight Travel Expenses Covered?
Yes
No
Are Any Hotel Travel Expenses Covered?
Yes
No
Airport Closest To Event
Airport Address
Distance From Airport To Event (Miles)
Travel Time From Airport To Event (Minutes)
Name Of Person Hosting/Driving Landra During Event
Host/Driver Title
Host/Driver Cell
Host/Driver Email
Is The Sale Of Ministry Product Permissible?
Yes
No
Name Of On-Site Audio/Visual Contact
Cell Number Of On-Site Audio/Visual Contact
Email Address Of On-Site Audio/Visual Contact
Will The Event Be Videotaped?
Yes
No
Will The Event Be Audio Taped?
Yes
No
Will The Event Be Streamed To Other Campuses, Locations?
Yes
No
Is There A Budget For Honorarium For This Event?
Yes
No
Additional Comments/Information
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