Rev. Dr. Kevin R. Murriel Speaker Request Form

Speaker Request Form
Thank you for contacting The Office of Rev. Dr. Kevin R. Murriel. We appreciate your thoughtful invitation to participate in your event. All speaking engagement requests must be submitted through the form below. Please note that all requests will be reviewed before a final determination is made.

We request that you submit this form along with any supporting materials a minimum of four (4) weeks and preferably twelve (12) weeks prior to the event date. Please allow up to one (1) week for a response.

You will receive a receipt of confirmation following the submission of your Speaker Request Form.

Contact the Sr. Executive Assistant to the Sr. Pastor, Judy Roberson-Butts, if you have additional questions.

jrbutts@cascadeumc.org | (404) 582-0336
Requester/Organizer Information
Full Name of Requester

PrefixFirst NameLast NameSuffix
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business/Organization Name
Description of Organization
Organization/Event/Registration Website

Travel Information
Closest Airport to the Event
Hotel Recommendation 1
Hotel Recommendation 2

On-site Contact Information
On-Site Contact Name

PrefixFirst NameMiddle NameLast NameSuffix
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number
Please enter a valid phone number.Format: (000) 000-0000.

Additional Information/Comments
Projected Honorarium Amount
Additional Information. Please feel free to provide additional information about your engagement.
Please upload formal letters of invitation, agendas, marketing materials, parking instructions, etc.

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