Speaking Request Form
Thank you for your interest in having me speak at your event. It is an honor to be considered! I will prayerfully consider your event and will get back to you very soon with next steps. All requests must be directed through this form in order to help with keeping dates and information organized. Thank you for kindly complying!
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Email *
Organization or church name *
Organization/church location *
Organization website
Your name *
Your position or title in the organization *
Your email address *
Your phone number *
Speaking date(s) requested *
Is your date flexible? *
How many attendees do you expect? *
Who else (if anyone) is on the agenda to speak at the same event?
Please tell me a little more about your event and your audience *
What type of event is this? *
How many sessions would you like Michelle to do and how long is each? *
Describe your event theme (You may leave blank if you haven't chosen this yet)
Please list any special requests for Michelle, or leave blank if you have none.
Budget range *
Closest major airport
Who spoke for your last event, and what was your theme? *
How did you hear about Michelle? *
Is there anything else you'd like Michelle to know?
When you are finished, please click the submit button. Thank you!
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