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Speaking Request Form
First Name
Last Name
Name of Church/Company/Event
Info About Church/Company/Event
Start Date
*
required
End Date
*
required
What time(s) are you requesting James to speak?
Is there a theme or suggested speaking topic?
What is the approximate length of time allotted to speak?
Will you be able to accommodate 1–2 guests with James?
*
Yes
No
What is the name of the venue?
What is the venue location?
If the venue is a church, please list the name of the pastor.
What is the expected size of the audience?
Give us a brief description of the event and organization.
Provide the name of Contact Person
Contact Person's phone number
Contact Person's email address
What is the preferred method of contact?
*
Phone
Email
When is the best time to contact?
What is the honorarium budget?
Will you advertise this event online (website, social media, etc.)?
*
Yes
No
Will advertisements for this event be broadcasted on any other public media?
*
Yes
No
Will this event stream live online?
*
Yes
No
If being streamed live, on what website?
What is your organization's website?
Do you have any additional questions or comments?
Submit
Thanks for submitting your request!
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