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Speaking Engagement Form  
About your Organisation
 
Name of organisation:
Contact name:
Daytime contact number:
Email:  
Website:  
Correspondence address:  
Please give a brief description of your organisation's purpose and objectives
Who is in charge of your organisation?
If overseas, do you have any connections with a UK based church or ministry? If so, please name them
How did you hear about Jacqueline Peart and Deep Calleth unto Deep Ministries?
 
   
About your event  
   
Event title:  
Date of event:
Venue:
What do you hope to achieve from the event?
Is there a theme/subject for this event? Please indicate.

Open to the public or is it private?
public  
private
How many delegates/attendees do you expect for this event?
How will the event be promoted?
Please tick appropriate box:  
  Leaflets
 
  Posters
 
  Press
 
Radio
 
TV
 
Net
 
Letters
 
Other
 
 
   

Your requirements

  
   
Do you require any publicity material from Jacqueline Peart?
  Bio
 
  Photos
 
  Audio
 
Other
 
 
   
Please give specific date(s) that Jacqueline Peart is required to speak.  
 
At what time do you require Jacqueline to speak?  
 
How long do you require Jacqueline to speak for?  
 
   
Our requirements  
 
Yes No N/A  
 
(If applicable) Will a suitable parking space be provided?  
 
 
Will Jacqueline Peart's travel expenses for attending the event be covered?  
 
 
Have you factored in an offering/honorarium or payment for Jacqueline Peart?  
 
 
Are you willing to approve the sale of Jacqueline Peart's own material?  
 
 
(If applicable) will Jacqueline Peart's flight be covered?  
 
 
(If applicable) will Jacqueline Peart's assistant’s flight be covered?  
 
 
(If applicable) will Jacqueline Peart's
accommodation and meals be covered?		  
 
 
   

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