Event Sponsor Contact Informaton
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First & Last Name
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Telephone
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Type
Home
Cell
Office
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Email
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Preferred method of contact
Telephone
Email
Event Information
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Church, group, business or organization sponsoring this event
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City
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ST
Event Location (if different than above)
City
ST
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What type of event are you planning (retreat, conference, business meeting, training session, luncheon, marriage conference, etc.)
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Type of audience (women, men, mixed)
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Expected attendance #
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Date event begins
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Date event ends
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Number of presentations speaker will make during this event
Keynote (single presentation)
2
3
4
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What is the amount you have for the speaker's fee in your budget?
(In addition to this amount, please allow for expenses of travel, meals and lodging, if the event is 1 hour or more from the speaker's residence.)
less than $500
$500
$600
$700
$800
$900
$1,000
$1,100-1,500
$1,600-2,000
$2,100-2,500
$2,600-3,000
$3,100-$3500
$3,600-$4,000
$4,100-4,500
$4,600-5,000
$5,500-$6,000
Budget not set yet
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Which CSS Speakers/Communicator(s) are you inquirying about for your event?
(please check all that apply)
Lynnette Tiller Appling
Becky Baker
Bessie & Beulah
Frank Ball
Kim Bolton
Catherine Boyle
Carole Brewer
Lauren Littauer Briggs
Jenny Broughton
Karen Mayer Cunningham
Jennifer Devlin
Ann Downing
Sharon Norris Elliott
Karen Fisher
Janie Fricke
Paula Friedrichsen
Rudy Galdonik
Nancy K. Grace
Ronald Gray
Lane Jordan
Andy Landis
Barbara T. Marshall
Tammy Melton
Janet Lynn Mitchell
Tracey Mitchell
Linda Newton
Annette Peterson
Marcia Ramsland
CJ Rapp
Kathryn Robbins
Janell Rardon
Victorya Michaels Rogers
Melody Rossi
Vonda Skelton
Debbie Hannah Skinner
Michelle Telfer
Craig von Buseck
Joanne Wallace
Rhonda Webb
Thelma Wells
Marilyn Williams
If you would like this information emailed to you, please include your email address here.
*
Indicates Response Required
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