Request a CCEF Speaker

Your church / organization*

About you*

Tell us a little about your group.

Website*

Coordinator name*

First Last

Coordinator email*

Coordinator phone*

Venue location*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First speaker choice*

Second speaker choice*

Requested topic*

Requested number of speaking sessions*

Other

Please provide a rough schedule of your event*

Who is your target audience?*

Expected audience size*

List 2–3 date options (in order of preference)*

How did you hear about CCEF?*

Please check all that apply*

Yes, we are able to cover travel expenses (airfare/mileage, lodging, meals, ground transportation)
Yes, we are able to provide an agreed upon speaker fee
We are a donor/supporting church

Additional comments or questions?*

Phone

This field is for validation purposes and should be left unchanged.