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Engagement Request
   If you would like to request a speaking engagement, please fill out the form below and submit it to us. We will contact you regarding availability and event details.
Contact Information
Name of Ministry or Organization
Contact Person
Phone
Email
Event Information
Date of Event MM/DD/YYYY
Start Time
End Time
Brief description of event and what is requested:
Will this session be taped and sold? Yes       No
Will there be a product table available? Yes       No
Is this a ticketed event? Yes       No