Contact Person
*
First Name
Last Name
Contact Person Cell Number
(###)
###
####
Contact Person Office Number
(###)
###
####
Contact Person Fax Number
(###)
###
####
Contact Person Email
*
We desire Cornelius to:
*
Preach
Motivational Speaking (*additional requirements apply)
Panelist
Host
Radio/Televison Interview
Blog/Newspaper/Book Contribution
Name of Event
*
What are the proposed date(s)
*
What is the proposed time of the event?
*
What are the details of the event? (i.e. expectations, understandings, etc.)
*
What is the name of the organization/church?
*
What is the membership size of the organization/church?
*
What is the name and address of the venue?
*
What is the seating capacity of the venue?
*
What is the expected attendance?
*
What are the specific day(s) and time(s) Cornelius is expected to speak?
*
What is the event theme? Please explain.
*
What is your speaker's budget? (i.e. travel, hotel, honorarium, etc.)
*
Are there any luncheons, concerts, or dinners Cornelius is requested to attend?
*
Are there any other invited speakers/singers? If so, please name them.
*
Will the event be advertised? If so, how? What are the special hashtags/social media handles?
*
Will the event be streamed via the internet? If so, please specify the URL address.
*
Is there any additional information to help Cornelius make a decision concerning your event? If so, please write it below.
*