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Speaker Request

Speaker Requests

Thank you for your interest in Discerning the Faith Ministries. If you are interested in booking Discerning the Faith Ministries for your next event, please fill out the request form and a member of our staff will be in contact with you shortly.

Name *

First

Last

Organization *

Position at Organization *

Email *

Phone Number *

Event Type *

Conference
Seminar / Workshop
Fundraising Event
Sunday Service
Homeschool Event
Other (Specify below)

If other, please describe

Date(s) of Event *

Are the dates flexible *

Yes
No

Event Location *

Street Name

Street Line 2

City

State

Zip Code

Country

Topic(s) to be addressed *

Intended Audience *

Expected audience size *

Length of time to speak *

Speaker being Requested *

Will there be other speakers at this event? *

Will a Resource Table be provided? *

Yes
No

How did you hear about Discerning the Faith? *

If other please indicate

What is your interest in Discerning the Faith Ministries?

Additional Comments or Information

I consent to Discerning the Faith Ministries Privacy Policy *

Yes

Name

P.O. Box 4055, Broadlands, VA 20148 • info@discerningthefaith.org • 571.465.7506

A 501(c)(3) non-profit organization

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Your ticket for the: Speaker Request

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Speaker Request

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