Lit Torch Publishing
Speaker Request Form
Your Name & Contact Phone #
*
Please enter your name and a phone number where we can follow up with you on your speaker request.
Your Email
*
Desired Event Date
*
MM
/
DD
/
YYYY
Presentation
*
The Greatest Escape / Magic Gospel Show
One Simple Word
True Riches
Other
Desired Length of Presentation
20-30 minutes
30-45 minutes
45-60 minutes
60-75 minutes
75-90 minutes
Other...
Anticipated Audience
*
< 30
31 - 100
101 - 300
301 - 1000
1000 +
Average Age
*
Under 18
18-24
25-39
40 - 59
60 +
Anticipated Budget for Travel Expenses & Honorarium
*
$
Dollars
.
Cents
Airport to Fly Into
*
How did you learn about this event? Any additional details?
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