Newlands Church Speaker Request
Thanks for your interest in having a member of our staff at your next event. While they are honored and extremely humbled by every request that comes in, they may not be able to accept every invitation in order to keep their relationship with the Lord, their family, and Newlands Church healthy. A team of Newlands Church staff will review this completed speaker request form and be in contact with you about this event.
Event Information
Requested Speaker
*
Please Select
Ethan Fisher
Elaine Fisher
Event Contact
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Technology Director
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
General Event Information
What is the name of the event?
*
General event website:
What is the vision and purpose?
*
Event start date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event end date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How many times would you like them to speak?
*
How long should they plan to speak for each message?
*
What will be the event schedule (include the precise times of day they will speak)?
*
What specific topics are you requesting they cover?
*
Will you provide Newlands Church with a master-quality audio and video recording of their session to use at Gateway's discretion?
*
Please Select
Yes (Audio & Video)
Yes (Audio Only)
No
Who is the target audience?
*
How many attendees do you expect?
*
What is the ticket price for this event?
*
Is this event open to the general public or by invitation only?
*
Please Select
General public
Invitation only
Please provide the registration website for general public events.
How many different churches will be represented?
*
Who will also be speaking at this event?
Additional Speaker
First Name
Last Name
Additional Speaker
First Name
Last Name
Additional Speaker
First Name
Last Name
Additional Speaker
First Name
Last Name
Additional Speaker
First Name
Last Name
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Location & Travel Information
Newlands Church requests to make ALL travel arrangements for our pastors and their travel associate including airfare, rental car, and hotel. In return one check for reimbursement purposes can be made out to Newlands Church.
Where will the event be held?
*
Event Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which airport would they fly into?
*
What is the travel time from the airport to the event location?
*
When do you expect them to arrive at the event location?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Will you be covering all of their travel expenses, including housing, meals, and transportation? (Without deducting from the honorarium.)
*
Please Select
Yes
No
Partial
They always travel with a work associate to remain "above reproach". Would you be willing to cover the expenses for this person (without deducting from the honorarium)?
*
Please Select
Yes
No
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Final Details
When do you require a formal response?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Honorarium Amount
*
If there is anything else you would like to include with this invitation, please do so here:
Newlands Church reserves the permission to capture audio and video of their teaching. This content will be used for distribution on our various websites.
*
Please Select
I agree
I disagree
Submit
Should be Empty: