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Rev. Dr. Frederick D. Haynes, III - Speaker Request Form
Name
Organization/Church Name
Phone Number
Email Address
Address
City
State
Zip Code
Event Name
Event Type
Select one...
Sunday Service
Revival
Funeral
Wedding
Conference
Workshop/Seminar
Media Interview
Convention
Is this a virtual event?
Yes
No
Theme
Start Date
End Date
Start Time
End Time
Estimated Honorarium (Churches & Non-Profit Organizations Only)
Select one...
$2500-$3000
$3000-$5000
$5000-$10000
$10000-$15000
$15000-$20000
$20000+
Thank you! Your speaker request has been received! We will be in touch soon!
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