Booking Request Form
First Name
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Last Name
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Email
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Phone
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Organization / Church / Company
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Event Details
Event Name
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Event Date(s)
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Event Location (city + state, country or virtual)
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Event Format (Keynote / Workshop / Panel / Virtual)
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Estimated Audience Size
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Audience Type (entrepreneurs, leaders, professionals, mixed)
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Topic of Interest (check all that apply)
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Wealth RESET – Breaking debt cycles, replanting money in God’s system
The $Q Factor™ – Activating spiritual intelligence in financial decisions
Prophetic Vision Mapping – Building legacy-driven businesses
Pain to Profit™ – Transforming wounds into wealth and wisdom
Custom Topic (please describe below)
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Budget Range (If you’re not sure yet, select “Not determined.”)
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Under $2,500
$2,500 – $5,000
$5,000 – $10,000
$10,000+
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