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Would you like FD to speak at your event ? Get Started !
Your Name
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Your Email
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Date(s) of Event (ie 20/01/09 - 23/01/09)
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Type of Event
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Other Speakers
Is he the main speaker?
y
es
n
o
How many plenary sessions are you requesting FD to speak for?
How many workshops or breakout sessions are you requesting him to speak for?
Schedule and Duration of speaking times (e.g. Plenary Session at 9am on 1/2/09, 1 hour in length)
Are there any particular topics you would like him to speak about in each session?
Estimated number of attendees
Makeup of the attendees (e.g. age range, urban, pastors, business men, etc.)
Organization’s name and mailing address
Contact Person Details( Phone/Fax/Email)
How do you know FD? (e.g. Where and when did you meet him? Who referred him to you?)
Overall purpose of the conference
Location and address of event site
Location of nearest airport to event
Is a photograph and profile of FD required?
Y
es
N
o
Are you able to provide hotel accommodations and expenses for a business class flight?
Would you be willing to advertise FD’s resources (books, tapes etc) at your conference?
As part of FD’s commitment to leadership development, he believes in allowing other associates to accompany him to his speaking engagements. Would you be willing to provide travel expenses to accommodate this priority?
Other Notes
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