Who would you like to invite? * Who would you like to invite? * Aaron Perzan Michelle Perzan Michelle and Aaron Perzan

Name of your organization (Church / Ministry) and website. *

Address (Street, City, State / Province, ZIP Code, Country) *

Phone Number *

Email *

Name of Contact (First and Last) *

Date(s) of event *

Estimated Attendance * Estimated Attendance * 1 - 100 101 - 200 201 - 300 300 +

Speaking Sessions (How many sessions and what length are you looking for?) *

Event Theme or topic. What is your vision for this event? *

Planned speaking schedule for Aaron and / or Michelle *

Will there be a ministry team on hand if Aaron and / or Michelle needs to use them? * Will there be a ministry team on hand if Aaron and / or Michelle needs to use them? * Yes No

Are you able to fly Aaron / Michelle and a ministry assistant or intercessor in with them? * Are you able to fly Aaron / Michelle and a ministry assistant or intercessor in with them? * Yes No

Comments about flight expense.

Will you be providing lodging? * Will you be providing lodging? * Yes No

Comments about lodging arrangements.

Will you be providing meals? * Will you be providing meals? * Yes No

Are you able to cover their transportation needs (airport runs, to and from meetings, mileage if driving to your meeting, etc.) * Are you able to cover their transportation needs (airport runs, to and from meetings, mileage if driving to your meeting, etc.) * Yes No

Comments about transportation.

Are you able to facilitate a book and product table? * Are you able to facilitate a book and product table? * Yes No

Are you able to provide video footage of the meetings? * Are you able to provide video footage of the meetings? * Yes No

Budgeted Honorarium. Please specify amount versus leaving an open-ended comment / question. *

Date you need a response by? *

Any other details you would like us to know?