Speaking General Information Name of Church/Organization Name of Contact Person Phone Number Your Email (required) Assistants Name (If Applicable) Assistants Number (If Applicable) Speaking Information Event Name Event Date Event Location (City, State) Event Attendee Description Estimated Number of Attendees Speaker Topic Requested Speaker Type Requested Keynote SpeakerPlenary SessionBreakout SessionAuthor Interview, Discussion, Q&AWebinar PresentationPanel Participant/FacilitatorOther Speaker Topic Requested Budgeted Honorarium for Speaker Resource Section In order to maximize the takeaway value for your participants, we highly recommend that the event host offer additional resources for attendees. Depending on the nature of your event, someone on our team will suggest if our books, workbooks, and/or course materials are appropriate.