Speaking Request for Dr. Q'shebra La'Tash

Speaking Request for Dr. Q'shebra La'Tash

''The VOICE of VISION, VALUE & VICTORY"
Your Name*

Contact Person FirstLast Name
Email Address
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Contact Number
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Name of Business/Ministry Type here*
Event Type (e.g., Workshop, Conference, Retreat) Type here
Event Theme/Topic Type here*
Event Date *

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Date
Speaker Time Requested

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Event Start & End Time Type here*
Event Location & Venue
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Delivery Format (In-person / Virtual / Hybrid) Type here*
Expected Attendance Type here*
Target Audience Type here*
Role Requested (Keynote, Workshop, Panel, etc.) Type here*
Will there be Q&A? (Yes/No) Type here*
Is an honorarium budgeted? (Yes/No; please specify or explain) Type here*
Permission to sell/promote materials? (Yes/No) Type here*
Will travel/accommodations be covered? (Yes/No/N/A) Type here*
How did you hear about Q’shebra LaTash? (optional) Type here*
Anything else we should know? (optional) Type here*
“Thank you! Someone from the team will be in touch within 2–3 business days.”
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