Speaking Requests For Kim Crabill
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
To what event are you inviting Kim to speak?
Venue Name
Location of Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Anticipated Attendance
Less than 100
100-250
250-500
500+
Date of Event 1st Choice
-
Month
-
Day
Year
Date
Date of Event 2nd Choice
-
Month
-
Day
Year
Date
Date of Event 3rd Choice
-
Month
-
Day
Year
Date
Requested Speaking Topic
In what ways will you be promoting this event?
What is the biggest need at your church that you would like to address?
Is the Event Ticketed?
Yes
No
Maybe
If at cost, what is the ticket cost?
Describe the Audience
Women
Men
Mixed Audience
Average Age of Audience
18-35
Over 35
Will there be additional speakers at this event?
Yes
No
What type of capability do you have for showing videos?
What type of microphone is available?
Will Kim have the opportunity to sell her books at the event?
Yes
No
Do you have any additional information you would like to share?
Submit
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