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First and Last Name
Name of Event
Event Location (address, city, state)
What type of event is this?
Is this event virtual?
Would you like the speaker to come in-person?
Who would you like to invite to speak or present?
Jefferson Jones, M.Div
Rosa Jones, LPC
Please describe the topic that you would like the speaker(s) to address.
How much time will the speaker have for the presentation/sermon/speach?
What is your budget for speaker honormairm (to include speaker fee, transportation, meals & lodging) ?
What is the name of the company or legal entity this contract would be with?
How did you hear about us?
Feel free to share any additional information about the project.
Next steps: Please be on standby to receive an email to book your appointment. You will receive your booking email within 24 hours M-F or the next business day. Thank you!
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