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Church/Organization:
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Address:
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Contact Person:
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Email Address:
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Phone Number:
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How did you hear about Heather?
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Date of Event:
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Event Location:
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Theme:
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Event Audience
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Youth
Adults
Both
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What date(s) and time(s) do you want Heather to speak?
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What media capabilities are available?
(audio, video, etc)
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What is the budgeted speakers honorarium for this event?
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Nearest Airport:
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What is the distance from airport to event?
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What is the time/distance from hotel to event?
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What is the estimated number of attendees?
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