Name

Email Address

Name of Church/Organization

Website of Church/Organization

Is your ministry a part of Build?

Mastermind Group or Accelerate/Expedite Growth

Location

What is the closest airport? How far of a drive is the airport from where the conference will be located?

Dates

Event Description:

Have you chosen a theme or specific topics for the event? If yes, please explain.

How many sessions are you requesting Seth to speak at?

Estimated number of attendees:

Estimated budget for speaker:

Are you inviting other speakers for this event?

How did you hear about Seth?

Additional Comments:

Invite Seth