SPEAKING REQUEST Event Title: Date of Event: MM DD YYYY Organization or Ministry Name: Contact Person * First Name Last Name Email * Phone (###) ### #### Event Details Nature of Meeting (Conference, Worship Service, luncheon, workshop, etc) Please included Type of Meeting Venue, Expected Attendance, and Theme / Vision for the Event What prompted the invitation? Audience Age, Gender, Occupations, Religious Attitudes, etc. % of Audience that is Youth / Young Adult / Adults: Please indicate the primary Ministry and/or Leader Contact Please give a brief description of the details of this event that may not have been mentioned: Date, Time, Duration, Topic/Emphasis, Expectations, Other guests/bands? TRAVEL AND MEALS * Are you willing to cover expenses for travel / meals, etc? Yes No Partial ACCOMMODATIONS * Will accommodations and hosting be arranged for Andy during the event? Yes No Not applicable HONORARIUM * Will there be a personal honorarium or love offering? Honorarium? [Andy often speaks without compensation and payment is not a primary determining factor in selecting his speaking engagements. If you would like to offer an honorarium, please specify the amount below] Yes No Honorarium Amount $ MERCHANDISE * Is the sale of ministry products permissible? Yes No MERCHANDISE * Would you be able to provide a volunteer to assist with a display table if necessary? Yes No If a 5-7 day Camp or Retreat/Conference, or overseas, would you be willing and able to provide meals and accommodations for Andy’s Wife & family (4 kids) * Yes No Not applicable By confirming in the box I/my organization confirm that we have read and agree to the to the above agreements * I Understand Date Response Required By MM DD YYYY Submitted By: First Name Last Name Any other information you would like to share? Thank you!
