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Speaker Request Form
Name
Organization/Church Name
Phone Number
Email Address
Address
City
State
Zip Code
Event Name
Event Type
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Sunday Service
Revival
Funeral
Wedding
Conference
Workshop/Seminar
Media Interview
Is this a virtual event?
Yes
No
Theme
Start Date
End Date
Start Time
End Time
Estimated Honorarium
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$0-$500
$500-$1000
$1000-$2000
$2000-$5000
$5000+
Requested Speaker
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Rev. David Malcolm McGruder
Rev. Danielle Ayers
Rev. Kea Westbrook
Rev. Thomas Garner
Thank you! Your speaker request has been received! We will be in touch soon!
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