Guest speaker Information

Speaker's Name

Speaker's Title

Speaker's Mobile Number

Event Date

PA to Speaker

PA's Phone Number

PA's Email

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attachments

Please include the following items when submitting this form:

Speaker Bio

Drop files here or

Max. file size: 50 MB.

Speaker High-Resolution Photo(s)

Drop files here or

Max. file size: 50 MB.

Travel Information

If booking your own airfare, please provider speaker's flight information

Arrival Date

Departing From

Airline + Flight #

Arrival Time

Departure Date

Departing To

Airline + Flight #

Departure Time

Accomodations

Should anyone be accompanying the speaker during this trip we are happy to organize additional accommodations for them at your expense at our corporate rate.

Is additional accomodation required?

How many additional rooms?

Names of those traveling with the speaker

Amount of luggage

Food & Beverage Preferences

Fruits

Sweets

Coffee/Tea

Snacks

Food Types

Alcohol

Dislikes

Allergy & Dietary Restrictions

Speaker Details

Handheld microphone, podium and small table with water will be provided.

Does the speaker anticipate displaying any of the following (please choose all that apply)

Scripture Text

Graphics or Slides

Videos

What version of the bible will the speaker use?

Honorarium & Reimbursements

Our standard procedure is to provide you with a check before your departure. However, if your preference is another method, please contact Shelby at [email protected] to make arrangements

Check Payable to

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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