Speaking Request Form
Are you interested in having Terence speak for an event you're a part of? Fill out the speaker request form, and we'll be back to you as soon as we can.
Email address
Love Beyond Walls Presentation
City/State of Event
(i.e. Atlanta, GA)
Your answer
Venue
(i.e. Church, Event Hall, Philips Arena)
Your answer
Sponsoring Organization
Your answer
Who does this event primarily target?
Your answer
What is the projected size of the event?
Your answer
Who else is speaking at this event?
Your answer
Please describe the vision of your event and how you see Terence Lester fitting into the vision.
Your answer
How much time will Terence have to share?
Your answer
What kind of media will Terence be able to use while he's speaking?
(i.e. Can he show a video, or have a PowerPoint presentation?)
Your answer
Honorarium Proposed?
(i.e. $1,000)
Your answer
How many of Terence books would you like to purchase?
(Books come in case quantities of 24 at $10 per book.)
Your answer
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?
Your answer
How did you hear about Terence Lester?
Your answer
Contact Person Name
Your answer
Email Address
Your answer
Address
Your answer
City, State, Zip
Your answer
Organization Phone Number
Your answer
Mobile Phone Number
Your answer
A copy of your responses will be emailed to the address you provided.
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