Speaking Engagement Request Form

Speaking Engagement Request Form

Michael Thurmond
Thank you for your interest in booking Michael Thurmond as a speaker. Please complete the form below with your event details.
This form helps us ensure every opportunity is aligned with our mission and handled with clarity and care. A signed agreement is required to confirm all bookings.
Your Name (Main Contact)*
Organization Name*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date*

MonthDayYear
Date
Time of Event*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Event*
Students / YouthEducators / School StaffAthletes / TeamsChurch Members / Faith LeadersParents / FamiliesBusiness ProfessionsGeneral CommunityOther
What is your proposed budget or honorarium for this event?*
Please enter a dollar amount or note if this is a volunteer request.
Full Name of Event Contact*
Date of Submission*

MonthDayYear
Date of Submission
Agreement to Terms
By submitting this request, you agree to the terms outlined above and understand this form does not guarantee availability. We will follow up to confirm details, provide any next steps, and discuss deposit/payment if applicable.
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