James Merritt Speaking Request

Name of Church/Organization*

Mailing Address of Organization*

Name of Contact Person*

Contact Person Cell Phone*( ) -

Contact Person Email Address*

Assistant's Name (if applicable)

Assistant's Contact Info (if applicable)

Event Date*

Address of Event*

Event Name, Purpose, and Makeup of Attendees*

Event Schedule and Duration of Speaking Times (Plenary Session?)*

Desired Speaking Topic by Pastor Merritt*

Are There Additional Speakers?*

Yes

If Yes, Names of Additional Speakers

Estimated Number of Attendees*

Attire*

Budget for This Event - Suggested Honorarium $1200-$1500*

Nearest Airport

Distance to Speaking Venue from Airport

Will You Provide Transportation To/From Airport for the Event?

Yes

Pastor Merritt Occasionally Travels with a Staff or Family Member. Would Airfare for One Additional Person Fit into Your Event Budget?

Yes

Maybe

Please leave this field blank.