Speaker Request Form

To request Evangelist Wanda to speak at your next service or event,
please complete the form below:

Organization Name	*
Address 1	*
Address 2	*
First Name	*
Last name	*
Phone Number	*
Email Address	*
Title of Event	*
Event Date	*
Event Time	*
Event Type
Event Type (Formal or Casual)
Is the event in the same location at the Organization address? If not please provide location and address in the "Additional Information/Details" box below:
Expected Number of Attendees (i.e. seminar retreat conference)
Will the event be recorded?
Will a complimentary digital copy of the event be provided?
Will I be able to sell products (i.e. books merchandise etc..) after the service?
Will beverages/refreshments be provided?
Any additional information/details:
Do not enter anything in this field:

* indicates a required field

Please fill this field.