Speakers Network Presentation Request Form
Please use this form to arrange a faith or multifaith presentation for any size group.
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Email *
Your Name *
Your Phone *
ABOUT YOUR EVENT
What topic (or topics) do you want the speaker (or speakers) to cover? *
What is the theme of the program you are planning? *
Which of these speakers relates to your event's intended focus? Select all that apply. *
Required
Desired outcome (what you hope to receive from the speaker or speakers): *
Presentation Type *
What is your preferred presentation format? *
Audience Type *
School/Organization/Group Name *
PRESENTATION LOCATION
Please provide the address for the event (not the school/organization/group's mailing address). This response is not needed if the event will be exclusively virtual/online.
Street Address
City
Zip
PRESENTATION DETAILS
Preferred Event Date *
MM
/
DD
/
YYYY
Preferred Event Start Time *
Time
:
Preferred Event End Time *
Time
:
Additional Comments (alternative dates, any special considerations regarding class/technology/space etc.).
Please include a cell phone number for pre-event communication, if possible.
PRESENTATION FEE
We are a non-profit organization and welcome contributions to help cover operating expenses.
Please indicate if you are able to contribute either or both of the following:
Amount Budgeted for Honorarium
How did you learn about the Minnesota Multifaith Speakers Network? *
THANK YOU!
Please click the Submit button and Rev. Cynthia Bronson Sweigert will be in touch soon.
A copy of your responses will be emailed to the address you provided.
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