Speaker Request Form
The Forerunners Center
Requesting Organization
Name
*
First Name
Last Name
Job Title
Department
Organization Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Website
Event Information
Date of Event
Event Time
Location of Event
example: Online or In Peron if it's in person where at?
Name of Conference or Event
*
Is there a registration fee for the atendees? If so how much?
Expected Number of Attendees
Proposed length of presentation?
Event Type
*
Summit
Conference
Business
Church Service/Prayer Breakfast
Book Signing
Other
What's Your Speaker/Trainer Budget?
*
What type of talk would you like to do?
*
Host/Facilitate
Breakout Session
Keynote
Trainer
Panelist
Other
Presentation slides requested/Workbooks?
Yes
No
TBD
Which speaker would you like to request?
What is the general topic or focus of the presentation?
Is there a scripture focus?
Will there be any other speakers and what will they be presenting?
Will travel cost be covered or an honorarium/seed be offered?
Can information about this organization/ministry be given out to the atendee's?
Will this organization be able to display a product table or give out information about our products, books, website, social media, events ect..?
Are there any other factors that our organization/ministry should consider when evaluating this opportunity?
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