Speaking Request Form
Are you interested in having Terence speak at your event? Please fill out the speaker request form, and we'll get back to you as soon as we can.

Disclaimer: This form does not guarantee a confirmation that Terence will be able to attend your event. This is the beginning of the Speaking Request process and is not a confirmation! Please complete the Speaking Request Form to begin the process, and a team member will contact you to follow up with next steps. Thank you!
Email address *
Creative Mornings Talk + Commitment
Love Beyond Walls Presentation
City/State of Event *
(i.e. Atlanta, GA)
Venue *
(i.e. Church, Event Hall, State Farm Arena)
Date & Time of Event *
Address for the Event *
Parking Information *
Are there specific parking details? (i.e. Parking deck?)
Sponsoring Organization *
Target audience? *
What is the projected size of the event? *
(approximate number of attendees)
Who else is speaking at this event? *
Please describe the vision of your event and how you see Terence Lester fitting into the vision. *
How much time will Terence have to share? *
Media capabilities *
(i.e. audio, projector, video, PowerPoint, HDMI, VGA)
Honorarium Proposed? *
(i.e. $1,000)
How many of Terence's books would you like to purchase? *
(Books come in case quantities of 24 at $10 per book.)
Terence often travels with a staff or family member. Would travel expenses and accommodations for one additional person fit within the event budget?
What is the nearest airport?
How did you hear about Terence Lester? *
Contact Person Name *
Email Address *
Address *
City, State, Zip *
Organization Phone Number *
Mobile Phone Number *
A copy of your responses will be emailed to the address you provided.
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