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Event Name*

Date of Event*

Event Organizer*

Name of Requesting Organization*

Event Sponsor(s)


Email Address*

Additional Information

Thank you for considering me to speak to your group, congregation or organization. Please complete and submit the Speaker Request Form. I will review your information and respond within three business days. When we speak, I will ask you additional questions about your event, the venue, technological requirements and more.

My speaking fees vary, but I have generally been able to work within budgetary realities. Once we agree and the speaking fee has been established, I will provide you with the Speaker Agreement Form. Please complete that form and return it along with 50% of the agreed fee. I can generally hold the agreed upon date, but please know that it is not "booked" until the form and deposit are received.

Should you need to reschedule or cancel, please let me know right away as I generally start working on a presentation once it is booked. I will do my best to accommodate a rescheduled event. In this case, your deposit will be transferred to the new date. Should you need you cancel, I am only able to provide a 50% refund prior to two weeks out. Cancellations within two weeks of the event will not be refunded. 

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