Speaker Request Form Name of Church, School, or Organization * City & State * Your Name & Title * Email * Cell Phone * (###) ### #### What speaker(s) are you requesting for this event? * Select all that interest you. Clayton King Sharie King Trey Bradley Brian Burgess Marquise Cox Chris Dew Naeem Fazal Blake Goss Shaq Hardy Matt Holloman Chelsea Hurst Nick Hurst Jacob King Tim McKnight Nate Norwood Greg Wells What are the dates for this event? * How many times will they speak? * Where will the event be held? * Include city & state of venue. What is your expected attendance? Have you held this event before? * What is your budget for the speaker's honorarium? * For recommended honorariums, let us know in the EVENT INFO section below. $ Are you able to cover all expenses including airfare, mileage, hotel, and meals? * This is in addition to the honorarium amount listed above. Yes (up to 2 people) Yes (only 1 person) No If your selected speaker accepts the invitation, what is your preferred method of payment for the deposit, final balance, and any incurred expenses? * You may always reach out to change this preference after the speaker is contracted should you need to pay with an alternate method. Mail a Check Credit Card (3% Processing Fee) ACH / E-Check Draft Would you like to discuss having one of our CKM worship leaders join this event as well? Yes No Please share any other necessary event information: * Schedule, theme, goal for the event, etc. * Please note: The speakers and ministry will make a decision on the event based on current climate and risk level of the virus in the area you are hosting the event. I understand. Thank you! Your request has been submitted and our Speakers Director will be in touch soon. If you have any questions, please call our office at 864-437-8455.