Speaking Request Form for Ellen Vaughn

Your Name:
Email Address:
Phone:
Name of organization/group/church sponsoring event:
Address of organization/group/church sponsoring event:

Event Profile

• Goal. What would you like your event to facilitate in the lives of its attendees?


• Date(s):


• Location:


• Expected audience:
Men only     Women only     Men and Women     Large Mammals

• Expected size of audience:

• Approximate age range:

• How many speeches/addresses, and of roughly what length in time?


• Are you planning break-out sessions for group discussion?
Yes     No

• Ellen can provide small-group discussion questions based on her talks. Are these needed?
Yes     No

• Additional information about the event or the organization/group to provide insight to assist us
in meeting your goal(s) for the event:


Email you a copy of this message?   No thanks. Yes please.




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