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Speaking Request Form - Virtual
Thank you for considering Mekdes to be a guest on your podcast/virtual event. O
nce you complete this form, we will be in touch regarding Mekdes' potential availability and participation.
* Indicates required question
Email
*
Record my email address with my response
Type of Event
*
Podcast
Virtual Event
Webinar
Event Name
*
Your answer
Website
*
Your answer
Name of Church or Organization
*
Your answer
Desired Topic and Theme
*
Your answer
Desired Recording Date
*
MM
/
DD
/
YYYY
Desired Recording Time (Include Time Zone)
*
Time
:
AM
PM
Expected Date Event Goes Live (Include Time Zone)
*
MM
/
DD
/
YYYY
How Long would you like Mekdes to Speak?
*
Your answer
Who is your audience? Include age group
*
Your answer
Program Format of Event (Interview, Q&A, Conversation, Lecture, etc..)
*
Your answer
Honorarium amount budgeted?
*
Your answer
Contact Full Name
*
Your answer
Cell #
*
Your answer
Email
*
Your answer
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