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Speaker Request
Please complete and submit to request Lady Redelia Fowler to Speak for Your Event or Organization.
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* Indicates required question
Your Full Name:
*
Your answer
Cell Phone:
Your answer
Your business or organization name
Your answer
Name of event/conference
Your answer
Day(s) you are requesting Lady Redelia to speak?
MM
/
DD
/
YYYY
Time you are requesting Lady Redelia to speak?
Time
:
AM
PM
Suggested Honorarium
*
$550 (30 minutes to 1 hour)
$1,200 (2 hour presentation or workshop) Rate increases for 100 plus attendees
$2,500 (1 night stay) Host to absorb: Lodging, meals and travel where required
Proposed Honorarium (suggested honorarium within your ministry budget)
Other:
I have read and agree to the terms of this agreement
Your answer
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