Orphan No More Foundation - Speaking Request Form

Shaq Hardy Speaking Request Form

First Name

Last Name

Phone Number

CHURCH/ORGANIZATION

CHURCH/ORGANIZATION ADDRESS

Address Line 2

City

State

Zip/Postal Code

EVENT ADDRESS

Address Line 2

City

State

Zip/Postal Code

EVENT DATE

IF THIS EVENT INCLUDES A SUNDAY, IS SUNDAY REQUIRED?

This event does not include a Sunday.

Sunday is not required.

Sunday is required.

Sunday is strongly preferred.

HAVE YOU DONE AN EVENT WITH SHAQ BEFORE? IF SO WHAT EVENT(S)?

EVENT THEME & GOAL

ANTICIPATED ATTENDANCE

IS THE SALE OF TSHIRTS ALLOWED FOR THE EVENT/WOULD IT MAKE SENSE?

LENGTH OF SPEAKING TIME PER SESSION

EVENT ATTIRE

Casual

Business casual

Suit & tie

HONORARIUM AMOUNT

EXPENSES COVERED

Travel (Mileage, rental car & gas, flight)

Travel for companion (flight)

Food & Coffee

Parking

Hotel (booked by ONMF based on your budget)

Budget for Hotel

SEND EXPENSES TO...

ADDITIONAL COMMENTS