Speaker Invitation Form - Cassie N. Shropshire
Bringing Encouragement and Love through Words!
Your Name
*
First Name
Last Name
Your Contact Email
*
example@example.com
Your Contact Phone Number
-
Area Code
Phone Number
Name of Church or Organization
*
Church or Organization Website
*
Name of Requested Event or Conference
*
Theme(s) and/or Focus of Gathering
Date of Event
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Number of Attendees
*
Event Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will an Honorarium be Provided?
*
Yes
No
Will Hotel and Travel Expenses be Reimbursed?
*
Yes
No
Number of Speaking Sessions Requested
*
Please List The Day(s) and Time(s) You Would Like Cassie to speak
Will There be a Resource Table Available?
*
Yes
No
Will There be a Volunteer Available to Run the Resource Table?
*
Yes, we will have a volunteer available.
No, Cassie will need to provide someone to run their resource table.
Additional Relevant Information or Requests
Submit
Should be Empty: