EVENT PLANNING FORM
Please provide event details below. If you have any questions, please email Natalia at NJones@FCchurch.com or leave a message at (614) 488.0681 ext.105
EVENT DETAILS
Event Type:
Event Type:
Required
Event Date(s):
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Event Title(s):
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Location:
Required
This event is:
Event Liaison / Chair / Staff & Contact info (please provide name(s), phone(s) & email(s):
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SPEAKER / FACILITATOR INFORMATION
Speaker/Facilitator Name:
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Speaker/Facilitator Phone & Email:
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Speaker/Facilitator Address:
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Speaker's Agent Contact Info: (if applicable)
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Preferred Lodging:
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Preferred Transportation while in Columbus:
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Handouts needed for copying prior to arrival:
Food / Beverage needs (allergies, vegetarian, etc.)
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W-9 form submitted to us (email form to NJones@FCchurch.com):
Speaker needs room for breaks:
CONTRACT DETAILS:
Honorarium (enter amt$):
Your answer
Negotiable / Flexible?
Center Pays:
Payment Options:
Center Reserves for Speaker:
Permission to Photograph during event:
Permission to audio / video record event:
Permission to use / sell media materials post-event:
BOOKS & MEDIA
Who provides Books & Media?
Will Speaker bring other items for sale during event?
Items needed for performing sales prior / during event:
Items needed to ship to speaker after event?
SET-UP DETAILS:
What Technical Items the Speaker will need?
Beverages for the Event (coffee, decaf coffee, water, tea, lemonade: please specify quantity):
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Any Food Items provided during event? When?
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Catering:
Describe Set-up for each portion of the event:
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MARKETING ITEMS
Center provides:
Online registration begins on:
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Online registration end on:
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Event Fees (if fee-based event):
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Sunday Pre-registration begins on:
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Sunday Pre-registration ends on:
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Comments / additional items:
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