Invite Chaim
Please fill out this formal booking request so we can process this opportunity. The specifics of your request will greatly help us as we schedule Chaim's itinerary. Due to the large number of requests, it is not feasible for him to accept every invitation submitted. Please trust that we will be answering you as soon as we are able.As you fill out the form, please consider: Airfare, food, and lodging expenses are to be covered by the hosting organization; anything beyond this, such as an honorarium, is welcomed.
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First Name *
Last Name *
Email *
Contact Phone Number *
Type of Event (required) *
Church/Conference Name
Church/Conference Website
Event Start Date
MM
/
DD
/
YYYY
Event End Date
MM
/
DD
/
YYYY
Venue Address *
What are you inviting Chaim to do? (required) *
Required
How long is Chaims portion of the event?

Please answer in hours, ie: .5, 1, 2, 3

Average Number of Expected Attendees
Honorarium
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