Speaking Engagement Requests:

Please provide us with the following information (see form below) about the event for which you are inviting Pastor Tracey Troy. The more information you provide, the more efficient the booking process will be.

Please understand that this information is for invitation purposes only and does not constitute a contractual agreement of any kind.

Contact Information (Section 1 of 4)

* Contact name: [First MI Last]

Contact title:

Street address:

City:

State:

Zip:

* Email address:

* Email address confirmation:

* Home phone#: [###-###-####]

Mobile phone#: [###-###-####]

Fax#: [###-###-####]

Event Information (Section 2 of 4)

* Event date: [mm/dd/yyyy]

Event time:

Sponsoring organization:

Venue:

Capacity:

Attendance estimate:

Type (revival, conference, workshops):

Speaker Responsibilities (please be brief):

Retreat or Conference Information (Section 3 of 4)

Registration cost:

Retreat/Conference description:

Have you hosted Pastor Tracey Troy before? Yes No

If Yes, when and where?

Are merchandise sales O.K.? Yes No

If Yes, can you provide 1 - 2 salespeople? Yes No

Honorarium Information (Section 4 of 4)

* Honorarium offer amount (U.S. $):

Do you agree to pay roundtrip airfare (either from Myrtle Beach, SC or Wilmington, NC)? Yes No

Do you agree to pay for and arrange hotel accommodations? Yes No

Additional comments, questions, or notes: