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Speaking & Training Requests
Lisa counts it a privilege to be considered for speaking engagements and training opportunities. Thank you in advance for completing this form as she considers your needs and her availability.
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Email
*
Your email
Name
*
Your answer
Church or Organization Name
Your answer
Title of Position
Your answer
Contact Address
*
Your answer
Address of the Event
Your answer
Email
*
Your answer
Phone
Your answer
Website
Your answer
Dates(s) of Event
MM
/
DD
/
YYYY
Start Time & End Time
Time
:
AM
PM
Is this date flexible?
Yes
No
Clear selection
Type of Event or Training
Conference Keynote
One-Day Retreat (2 sessions)
One-Day Retreat (3 sessions)
Weekend Retreat (4 sessions)
Women's Tea or Brunch
Youth Event or Retreat
Leadership Training
Mentoring Training
Professional Seminar
Vision Workshop
Generational Differences Workshop
Purpose of Event or Training
Your answer
Desired Theme or Topic
Your answer
Number Expected in Attendance
Your answer
Demographic of Audience - Ages & Stage of Life
Your answer
Please indicate your budget range, including covering Elisa's travel expenses, food, lodging, and honorarium.
Under $500
$500 - $1000
$1000 - $3000
More than $3000
In regards to Elisa's ministry assistant, please indicate your ability to cover the following:
travel expenses
lodging (shared room, two beds)
food
conference pass
Do you have any comments, concerns, or questions for Elisa?
Your answer
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