Mark Batterson
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Speaking
General Information
Name of Church/Organization
(required)
Organization’s Contact Information
Name of Contact Person
(required)
Mailing Address
(required)
Phone
(required)
Fax Number
(required)
E-mail
(valid email required)
Assistant’s Name (If applicable)
Assistant’s Contact Information (If applicable)
Speaking Information
Event Date
(required)
Event Location & Address
(required)
Event Purpose & Makeup of Attendees
(required)
Event Schedule & Duration of Speaking Times (Plenary Session?)
(required)
Speaking Topic
(required)
Are there other speakers?
Yes
No
If applicable, who are the other speakers?
Estimated Number of Attendees
(required)
Attire
(required)
Typical Budgeted Honorarium for this Event
(required)
Resource Information
All 2012 speaking engagements will be book events and it is requested
that the event host makes available his resources for the attendees.
This can be through book sales or giveaways.
Would you agree to purchase discounted copies of Mark’s newest book
The Circle Maker
to sell at your event or as giveaways to attendees?
Yes
No
Please specify order estimate. (Numbers Only)
For more information regarding resources contact:
jennifer.connell@theaterchurch.com
Travel Information
Nearest Airport
(required)
Distance to Speaking Venue from Airport
(required)
Mark typically travels with a staff or family member. Would airfare for one additional person fit into your event budget?
(required)
