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)
Your answer
Venue *
(i.e. Church, Event Hall, State Farm Arena)
Your answer
Date & Time of Event *
Your answer
Address for the Event *
Your answer
Parking Information *
Are there specific parking details? (i.e. Parking deck?)
Your answer
Sponsoring Organization *
Your answer
Target audience? *
Your answer
What is the projected size of the event? *
(approximate number of attendees)
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
Media capabilities *
(i.e. audio, projector, video, PowerPoint, HDMI, VGA)
Your answer
Honorarium Proposed? *
(i.e. $1,000)
Your answer
How many of Terence's 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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