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).
Sign in to Google to save your progress. Learn more
Your First and Last Name *
Your church, school, or organization name *
Your cell phone number *
Your email address *
Date of event *
Event Location *
Name of the event
Expected audience size
Please select which AV equipment will be available that day. *
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?
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy