Speaker Request Form

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Speaker Request Form

Speaker(s) Interested In *

Chris Baxter

Ibelise (Lissy) Baxter

Applicant's Name *

Application's Phone *

Applicant's Email *

Organization's Name *

Organization's Phone *

Organization's Website

Event Name *

Event Access *

General Public

By Invitation Only

Other

If Other:

Event Type *

General Speech

Interview

Panel

Conference

Outreach

Debate

Sermon

Lecture

Commercial

Other

If Other:

Event Date/Time *

Event Theme *

Event Tagline *

This could be a scripture reference, famous quote or iconic symbol that gives meaning to the event

Event Purpose *

Event Expected Number of Attendees *

Event Seating Capacity *

Event Target Audience Age (example: Ages 20-30) *

Event Target Gender *

Women

Men

Mixed Adults

Girls

Boys

Mixed Youth

Everyone

Other

If Other:

Event Venue Name *

Event Venue Address *

Country *

Speaker's Topic (Please explain situation and people addressing) *

Speaker's Timeline *

5 minutes 50 minutes 55 minutes 60 minutes 75 minutes 90 minutes 120 minutes Other

10 minutes

15 minutes

20 minutes

25 minutes

30 minutes

35 minutes

40 minutes

45 minutes

50 minutes

55 minutes

60 minutes

75 minutes

90 minutes

120 minutes

Other

If Other:

Speaker's Attire *

Causally (Jeans, Button Down T-Shirt, Tennis Shoes)

Casually Formal (Slacks, Button Down Shirt, Formal Shoes)

Formal (Suite, Tie, Shoes)

Black Suit Attire

Tuxedo

Other

If Other:

Speaker's Attire *

Causally (Jeans, Button Down T-Shirt, Tennis Shoes)

Casually Formal (Slacks, Button Down Shirt, Formal Shoes)

Formal (Suite, Tie, Shoes)

Black Suit Attire

Tuxedo

Other

If Other:

Speaker's Table: Can Speaker Set Up A Resource Table For Free & Contribution Based Items *

Yes

Other(Explain)

If Other:

Speaker's Honorarium *

Please indicate the amount you have allocated for the speaker's travel, food, and speaking expenses.

LoveGPS Speaker reserves permission to capture audio and video of teaching. This content will be used for distribution on our Websites, Social Media and Partner Ministy Websites. *

Yes

Other(Explain)

If Other:

reCAPTCHA *

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Name

Our Scope

A local footprint with a global vision. "And on some have compassion, making a difference." - Jude 22

Our Mission

Develop and equip people to serve their communities and beyond thru a life inspired by Christ and Scripture.

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