Speaking Engagement Booking Request Form
Complete the form to request Sherie Marie for your event and expect a review within 3-5 business days.
Contact Information
Full Name
*
First Name
Last Name
Organization / Church Name
*
Role / Title
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Details
Event Name
*
Event Type
*
Please Select
Church Service
Women's Conference
Retreat
Workshop / Training
Pro-Life Event
Other
Event Date(s)
*
-
Month
-
Day
Year
Date
Event Location
*
City & State
*
In-Person or Virtual?
*
In-Person
Virtual
Hybrid
Estimated Audience Size
*
Please Select
1–25
26–50
51–100
100+
Speaking Request Details
Type of Request
*
Keynote Speaking
Testimony / Story Sharing
Abortion Recovery Training (Church Leaders)
Panel Discussion
Workshop Session
Podcast
Other
Topic(s) of Interest
Length of Speaking Time Requested
*
Please Select
20–30 minutes
30–45 minutes
45–60 minutes
60+ minutes
Will there be a Q&A session?
*
Yes
No
Not sure
Event Vision & Needs
Please describe your event and what you are hoping Sherie will bring to your audience:
*
Have you previously hosted an abortion recovery or healing event?
*
Yes
No
Are you interested in ongoing partnership or training for your ministry?
*
Yes
No
Maybe
Logistics & Honorarium
Is there a budget allocated for this event?
*
Yes
No
Not sure
If yes, please share your budget range:
Please Select
Under $500
$500–$1,000
$1,000–$2,500
$2,500+
Will travel accommodations be provided if needed?
*
Yes
No
Not applicable
Final Details
How did you hear about Sherie Marie?
Additional Notes or Requests
Submit Request
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