Speaking Request

Event Name*

Event Date*

Time of Event*

Speaking Time*

Organization Name*

Address*

City*

State*

Zip Code*

Contact Person*

Email*

Phone Number*

Venue Name*

Venue Address*

City*

State*

Zip Code*

Title/Topic*

Fundraiser*

Length of Time to Speak*

Estimated Attendance*

Audience

If "other", please specify.

Attire*

Will there be AV available?*YesNo

Honorarium Budget*

Travel Budget*

Closest Airport Name*

Three Letter Airport Code*

Is Private Travel Available?*YesNo

How many cases(24) books are needed?*

Where do you want the books shipped to?*

If other, please indicate address.

What are your ministry goals for this event?*

Why do you feel David and Jason are a good fit for your event?*

Is there any other information that the brothers should have?