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SPEAKING REQUEST FORM

Thank you for your interest in having Joe Thorn participate in your event. Please fill out the form below as completely as you can, and you will be contacted once the request has been reviewed. Please email info@redeemerfellowship.org with any questions.

Event Contact Information

Event Planner

First Name

Last Name

Phone Number

(###)

###

####

Email Address

General Contact Information

Event Name

Event Website

http://

Event Sponsor (Organization)

What is the vision and purpose of the event?

Event Start Date

YYYY

Event Close Date

YYYY

Are there specific topics you would like covered?

Who is the target audience?

How many do you expect to be in attendance?

What other speakers will be attending the event?

Where will the event be located?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will you cover all transportation expenses?

Yes

If not, please list your reason below.

Honorarium

Is there anything else you would like us to know about the event?

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SPEAKING REQUEST FORM

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Worship Times

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SOJOURN YOUTH GROUP

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Contact Us

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PRAYER MINISTRY