Speaking Request

Thank you for your interest in requesting Drenda Keesee to share at your church/event. Please fill out each section that applies to your request. (The more information you are able to provide us, the sooner we will be able to provide you with a response.)

Host Information

Church/Organization Name *

Leader Name

For churches, please provide the name of the Senior Pastor.

Contact Name *

First

Last

Contact Title

Contact Email *

Contact Phone

Church/Organization Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Church/Organization Website *

Event Date

If your event will be virtual, please provide the air date.

Alternate Date

If you have an alternative date, please indicate that here.

Event Type

Conference
Weekend Services
Midweek Service
Conference & Midweek Services

Audience Type

Please note, if your invitation is for a conference and weekend services, please select the audience type which fits the conference.

Estimated Conference Attendance *

Please specify total in-person and total virtual attendance. (If your invitation is for Weekend or Midweek Services, please enter zero [0].)

Previous Conference Attendance

How many years have you been holding this conference?

Estimated Service Attendance *

If your invitation is for a Conference only, please enter zero )0).

I'm prepared to provide an honorarium. *

Yes
No

After we've reviewed your invitation, we will contact you to discuss the specific honorarium amount.

Event Website

If you have invited any other speakers to your conference, please list them here:

Please list any previous speakers for your event/church:

Event Format

Will your event be...? *

In-Person
Virtual

In-Person Details

If you answered "In-Person" above, please complete this section.

Does your event require travel outside the U.S.?

Yes
No

Can you cover the required travel expenses?

Yes
No

Venue Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Complete only if different than the Church/Organization's address.

What is the nearest major airport to the venue?

What is the distance (in minutes) from the airport to the venue?

Is a visa required to enter your country?

Yes
No

International Only

What is the dominant language spoken (other than English)?

Please list additional, if any:

Will an interpreter be used?

Yes
No

Virtual Details

If you answered "Virtual" above, please complete this section.

Is your virtual event live or pre-recorded?

Live
Pre-recorded

Virtual message length

i.e., 35 minutes, 40 minutes, etc.

Recording Delivery Date

Please enter the specific date or period of time prior to the event (i.e., 2 weeks) that your media team will need the recorded message sent to them.

Additional Comments