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Speaking for Your Event Request Page

Thank you for your response. ✨

Name of Church or Organization(required)

Denomination (if applicable)

Church/Organization Address

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Country(required)

Primary Contact Name(required)

Primary Contact Email(required)

Primary Contact Phone(required)

Event Name(required)

Event Date(s) (YYYY-MM-DD)(required)

Preferred Speaking Schedule(required)

Friday Evening Saturday Morning Saturday Afternoon Sunday Morning Other

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Event Location

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Expected Attendance

Event Type(required)

Topic(s) Requested(required)

Destination Airport

Accommodation Preference(required)

Hotel (non-smoking, private room preferred) Host Home (please ensure time for preparation and rest) Other

Text

Will a rental car be needed?(required)

Yes No

Technical Requirements(required)

PowerPoint capabilities (Dr. Carson can bring laptop or thumb drive) Screen for viewing slides Other

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Additional Comments or Questions

By submitting this form, you agree to communicate travel and accommodation arrangements with Dr. Carson or his representative.

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