Speaker Request Form

    Contact Name (required)

    Organization Name (required)

    Full Organization Address, City, State, Zip

    Contact Telephone Number (required)

    Contact Email Address (required)

    Topic of Interest (required)

    Length of Speaking Session / Duration of Message

    Message you want the audience to leave with?

    Select Group Setting

    Number of Participants / Attendees

    Select Type of Audience

    Date and Time of Engagement (1st Choice)
    ex. March 5, 2017; 9:00am

    Date and Time of Engagement (2nd Choice)
    ex. March 12, 2017; 9:00am

    Dress Code

    Event organizer would appreciate a response by:

    Location and Address of Event or Speaking Engagement (required)

    Additional Information or Message

    Please click request button only once. If you have problems with the form, make sure you have filled it out as completely as possible with your full name, address, and as much detailed information as is possible. Thank you.

    • Keynote Address

      The tone-setting and underlying theme presentation of a conference, convention, seminar, or other group meeting. I am equipped to speak on a variety of topics rooted in communication, theology, leadership, and education.

    • Seminar Lecture

      Experienced presenting an assortment of instructional topics, teaching, and imparting knowledge in an interesting and engaging way. Lecture-oriented format suitable for large instruction and classroom environments.

    • Workshops

      Workshop presentations available for hands-on skills learning in communication, public speaking, theology, conflict-management, leadership, and other topics suited to small group environments.

    • Media Event

      Radio, podcast, television, Skype, and other media related interviews and speaking events. Also, master of ceremonies, audio training, public address set-up, and other related areas.

    • Preaching

      Messages designed to inspire, instruct, challenge, and define your perspective to engage your passion and discover your purpose. Available for preaching conferences, pastoral instruction, church leadership and membership training, and pulpit fill.

    • Business Address

      Speaking to executives, leadership teams, mid-managers, and team members on topics including communication, conflict management, team building, efficiency, focus, time management, organization and organizational skills, and others.

    • Fees

      Speaking fees vary based on type, duration, location, and audience. Please contact for specifics regarding your event and specific needs. Standard and customized options are available.

    • Live long and...

      Prosper! Now, stop messing around and get in touch with me;^)