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Speaker Request Form
Thank you for considering Monica as a speaker for your upcoming event. Please complete this form and someone from her team will contact you. If a question does not apply, please type N/A
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Name of hosting organization, ministry, or conference *
Event name/theme *
Goal of the event *
Event Date *
MM
/
DD
/
YYYY
Event start time (approximate if unknown) *
Time
:
Event end time (approximate if unknown)
Time
:
Event location (venue, city, state) *
Event format ( conference, roundtable, panel, etc) *
Expected attendance/audience size
What topic would you like Monica to cover (please be specific) *
Excluding Monica, how many other speakers are speaking at this event? *
Specify the duration of the presentation/talk.
Is this event open to the public?
Clear selection
If yes, can Monica promote this event to her network?
Clear selection
If yes, can you provide all the registration details registration? (cost, deadline, where to register, etc.)
Attire
Clear selection
What is the compensation for Monica speaking? *
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