Jennie Lusko Speaking Requests

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in inviting Jennie Lusko to speak at your event! She is humbled and honored by each request, regardless of whether she can accept the invitation.

Please take the time to fill out this form so she and her team can consider the request. Someone from our office will contact you as soon as possible!

Name *

Title *

Best number to reach you *

Email *

Are you the primary contact for this event? *

Yes

If not, please list the primary contact.

Other:

Deadline date for a response: *

YYYY

Church/Organization Name *

Name of Event *

Date of Event *

YYYY

Purpose of Event *

Event Venue and Address *

How many years have you held this event? *

Other Confirmed Speakers *

Other Invited Speakers *

Past Speakers *

Expected Attendance *

Who is your target audience? *

How many times would you like Jennie to speak? *

What time(s) and date(s) would her session(s) be? *

Speaking Length: *

What topic would you like Jennie to speak on?

Event Website: *

Which airport would Jennie fly into? *

Distance to Airport from Speaking Location *

Jennie does not travel alone. Are you able to cover all travel expenses for Jennie and a travel companion? *

Please write 'Yes' or 'No', and include how much you're willing to cover.

Budgeted honorarium: (Please note Jennie does not have a specific fee) *

Will books and/or other resources be sold during this event? *

Yes

Unsure/To Be Determined

Required

Please list any plan you have to publish audio or video of event sessions (YouTube, Subsplash, etc.)

If applicable, please include any extra details about event

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Fresh Life Church.

Does this form look suspicious? Report

Forms