Speaker Request Form
Thank you for your interest in inviting Mr. Lafone to speak at your event. Mr. Lafone is a dynamic political commentator, cultural reformer, Christian and conservative thinker whose work focuses on reigniting moral conviction and civic virtue in American life. This speaker request form allows us to better understand your event details and ensure that Mr. Lafone’s message aligns with your audience and goals. For podcast interview requests, simply email isaiah@isaiahlafone.com.
Your Name
*
First Name
Last Name
Your Contact Email
*
example@example.com
Your Contact Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Information
Venue Name
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Event Website
Name of Requested Event or Conference
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Theme(s) and/or Focus of Event or Conference
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Sponsors Behind Event or Conference
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Starting Date of Event
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/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Ending Date of Event
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Number of Attendees
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Proposed Schedule for Mr. Lafone
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How Many Times Would You Like Mr. Lafone to Speak?
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How Long Should Mr. Lafone Prepare to Speak?
*
What Topics Would You Like Mr. Lafone to Address?
*
Will Mr. Lafone be Allowed to Set Up a Table?
*
Event Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will an Honorarium be Provided?
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Yes
No
Travel Information
What Airport(s) is/are Near to the Venue?
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What Day Do You Expect Mr. Lafone to Arrive?
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What Day Do You Expect Mr. Lafone to Depart?
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Will Hotel and Travel Expenses be Reimbursed/Covered?
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Covered
Reimbursed
Neither
Media Information
Will the Event be Recorded?
*
If so, Will We Have Permission to Post the Recordings on All Social Media Platforms Related to Mr. Lafone? (Mr. Lafone's Personal Accounts, Accounts Related to The John Witherspoon Institute for Cultural Reform, The Witherspoon Journal, and Federalist Media)
*
Do We Have Permission to Take Pictures and Videos of the Event and Post on All Social Media Platforms Related to Mr. Lafone? (Mr. Lafone's Personal Accounts, Accounts Related to The John Witherspoon Institute for Cultural Reform, The Witherspoon Journal, and Federalist Media)
*
Will The John Witherspoon Institute be Able to Distribute Material? (This Includes Merchandise and Material Related to The Witherspoon Journal and Federalist Media)
*
Additional Relevant Information or Requests
Submit
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