First Name

Last Name

Email *

Phone *

Organization

Is your organisation a...

Non-profit

For profit

Name of event

Date of event

Address of event

Number of guests expected

How many times is Bishop Wayne expected to speak?

Once

Twice

Three or more times

Duration of sessions

30-45m minutes

60-90 minutes

More than 90 minutes

To be arranged

Event history?

First time event

2nd or 3rd time event with successful history

Established with a long history (4 or more)

Additional speakers?

Please list any additional speakers at your event?

Your Website

How will you market your event?

Social Media

TV/Radio

Internal email

Your website

All of the above

How did you hear about Bishop Wayne Malcolm?

Social Media
Referral
Relationship

Do you approve sales of Bishop Wayne's resources?

Do you agree to pay for the Bishop's transportation and accommodation, with respects to your event?

How do you intend to compensate Bishop Wayne?

An agreed honorarium

His agreed speaking fee

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