Speaking Request Form

Invite Laura to speak at your next event by completing the form below. Our advisory team prayerfully considers each invitation and will contact you with next steps after we receive your form.

General Information

Name of Church/Organization:(required)

Name of Contact Person:(required)

Email:(required)

Telephone:(required)

Mailing Address:

Website:

Event Information

Event Name:(required)

Event Date:(required)

Event Location and Address:(required)

Event Description:(required)

Is this an annual event?(required) Yes

No

Requested Speaking Topic: (required)

Will there be other speakers?(required) Yes

No

If so, who are the other speakers?

Estimated attendance:(required)

Resource Information

Speaking engagements typically feature Laura’s resources to maximize the takeaway value for all who participate. Would you agree to purchase discounted copies of Laura’s books to either a) sell at your event or b) provide them to attendees as giveaways?

Choose one:(required) Yes

No

Travel Information

Nearest airport:(required)

How far is the airport from the speaking venue?(required)

Laura typically travels with one family member. Would airfare for a family member fit into your event budget?(required) Yes

No

Let’s make sure you’re human. Which is greater: 5 or 10?(required) 5

10

Thank you!

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Laura Lacey Johnson,