Your name*

Email*

Phone*

Organization or event name*

Type of event*
Church or ministry eventConference or workshopSchool or youth programCorporate or team eventBook signing or fundraiserPodcast or mediaOther

Event date (or date range)*

Event location (city, state, or virtual)*

Expected audience size

Who is the audience? (ages, group, theme of the event)

Topic or talk you are interested in
From Good to GoldThe Cost of GoldClean MirrorsNot sure – let's talkCustom topic

Length of the talk
15-20 minutes30-45 minutes60 minutesWorkshop (half day or longer)Not sure yet

Speaking budget / honorarium*
Not sure yetUnder $500$500 – $1,000$1,000 – $2,500$2,500 – $5,000$5,000+

Travel or lodging provided?*
Not needed – localYes, travel and lodging coveredTravel covered, lodging notLet's discuss

Book sales or signing at the event?
Yes, a book table or signingMaybeNo

Anything else I should know?