Get in touch
Thank you for exploring the possibility of partnering with Gene in a ministry event. Gene feels strongly that it is a speaker’s responsibility to connect with the needs of those planning and attending an event. It is common for him to begin preparing custom messages for groups months ahead of time. If you know Gene, you know he consumes information at rapid fire speed and wants to know as much about your ministry event as possible. To help in his preparation, we would appreciate your taking the time to print out this form, fill it out and return it to him. If your event planning is still in process, please fill out as much of the form as possible. If you would like to speak to Gene personally about this mater, that’s fine as well. He just likes to have groups communicate their event needs in their own words and this form helps him stay focused throughout the preparation process.
Media Resources
Speaking Request Form
Name of the organization you represent*
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Church or denominational affiliation*
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Your name*
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Title*
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Phone number*
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Email*
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Event start date*
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Event start time*
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Event end date*
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City and State in which event is to be held*
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Describe a specific topic you would like Gene to address (if applicable). If you would like to give Gene the freedom to speak on what he feels is appropriate, that is fine as well.*
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