Speaking Engagement Request

Please tell us about your gathering

Name

First Name

Last Name

Title

Email

Phone

(###)

###

####

Gathering/ Event Date

MM

DD

YYYY

Conference/ Event Name

Will you be hosting a vendor/ marketplace exhibit at your conference?

Yes

No

If yes, please share the contact name, email and/ or phone number

Bomi is the owner of a small business accessories business, Lily and Blume, and would like to discuss the possibility of being a vendor.

Expected audience size

Please share your audience profile (average age and ethnicity)

What do hope or pray will be the outcome of this event/ conference/ gathering?

Are there any specific contexts or circumstances we should consider?

Church or Event/ Gathering Name

Church/ Event Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Thank you for considering me as a guest speaker for your event. To ensure my message aligns with your event's theme and resonates with your audience, please take a moment to share some details about your gathering. The leading of the Holy Spirit and your insights will help me effectively serve your attendees.

Please tell us about your gathering

www.bomiroberson.com