Speaker Request Form
Kingdom Global Alliance Network
Requesting Organization
Name
*
First Name
Last Name
Job Title
Department
Organization Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Website
Event Information
Date of Event
Event Time
Location of Event
example: Online or In Peron if it's in person where at?
Name of Conference or Event
*
Is there a registration fee for the atendees? If so how much?
Expected Number of Attendees
Proposed length of presentation?
Event Type
*
Summit
Conference
Business
Church Service/Prayer Breakfast
Book Signing
Other
What's Your Speaker/Trainer Budget?
*
What type of talk would you like to do?
*
Host/Facilitate
Breakout Session
Keynote
Trainer
Panelist
Other
Presentation slides requested/Workbooks?
Yes
No
TBD
Which Speaker are you requesting?
Apostle Alton Natson
Apostle Nicckay Natson
Both Apostles Alton and Nicckay Natson
What is the general topic or focus of the presentation?
Is there a scripture focus?
Will there be any other speakers and what will they be presenting?
Will travel cost be covered or an honorarium/seed be offered?
Can information about this organization/ministry be given out to the atendee's?
Will this organization be able to display a product table or give out information about our products, books, website, social media, events ect..?
Are there any other factors that our organization/ministry should consider when evaluating this opportunity?
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