Speaking

Use this form to request Pastor Troy to speak at your next event.

General Host Information
Name of Church/Organization*
Name of Contact Person*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Work Phone
Cell Phone*
Assistants Name (if applicable)
First Last
Assistants Phone
Event Details
Event Date*
Date Format: MM slash DD slash YYYY
Event StartTime

: HH

MM
Name of Event*
Event Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Purpose & Makeup of Attendee's*
Approximate Attendance*
Available Media*
- Headworn or Lavaliere Microphone
- On Stage TV for Presentation Use
- iMag
- Pro Presenter
- Power Point
- Other Presentation Software
- Projectors that can show graphics
Choose all that apply.
Speaking Details
Speaking Topic*
What time should Pastor Troy arrive at the event.*

: HH

MM
How many times will Pastor Troy speak?*
Typical Budgeted Hornoraium for this Event*
Travel Details
Nearest Airport
If an overnight stay is required, please provide:
Name of Hotel
Hotel Phone
Confirmation Number
Address of Hotel
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
This field is for validation purposes and should be left unchanged.