Edward J. Young Speaker Intake
Thank you for being interested in me as your next speaker.  Having delivered messages and presentations for churches, youth groups, colleges, and parents, you should expect high quality, enthusiasm, and inspiration.  In order for me to better serve you and your needs, please complete this form at least two weeks in advance (preferably 1 month in advance).
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Your First and Last Name *
Your church, school, or organization name *
Your cell phone number *
Your email address *
Date of event *
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Event Location *
Name of the event
Expected audience size
Please select which AV equipment will be available that day. *
Required
Will the event be filmed? (If yes, I would love to have a copy)
Clear selection
May I have a vendor table at the event?
Clear selection
What is the budgeted speaker honorarium for this event? *
If more than two hours travel is required, will you provide lodging, gas, and mileage?
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