Contact Name *

First Name

Last Name

Phone *

(###)

###

####

Church/Ministry/Event Leader's Name *

First Name

Last Name

Church or Event Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which speaker do you request? *

David Edwards

Allessia Edwards

Both

Start Date *

MM

DD

YYYY

End Date *

MM

DD

YYYY

How many attendees are expected? *

100 or less

100-300

300-500

500-1000

1000 or more

How did you hear about us? *

Read One of Our Books

Social Media

Friend or Referral

YouTube

TV Show

Personal Relationship

Other

Which provisions will you be able to supply? *

Select all that Apply

Offering

Honorarium

Book Table

Transportation (Gas or Airline)

Food

Accommodations (Hotel, Airbnb, Home)

Other