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Contact Info

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(+55) 654 - 545 - 1235

info@zegen.com

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Speaker Request Form

Speaker Request Form

"*" indicates required fields

Speaker(s) Interested In
Event Access*

Event Type*

MM slash DD slash YYYY
Event Time*
:
This could be a scripture reference, famous quote or iconic symbol that gives meaning to the event
(example: Ages 20-30)
Event Target Gender*

Event Venue Address*
Speaker's Timeline*

Speaker's Attire*

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

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 Ministry Websites.*