Please have the person responsible for the event/communicating with Pastor Brandon fill out this form

Your Full Name (required)

Your Email (required)

Your Phone Number (required)

What church, ministry, or organization do you represent? (required)

What is the name of the pastor/leader of your church, ministry, or organization? (required)

What is the name of the event you'd like Pastor Brandon Cormier speak at? (required)

Your Address (required)

Address 2

City (required)

State (required)

Zip Code (required)

First Date of Choice (required):

Second Date of Choice:

Third Date of Choice:

Event Schedule — i.e. when will Pastor Brandon be speaking? (required)

How many people do you expect to attend?

What is the closest airport to your venue? (required)

Are you able to provide air travel for both Pastor Brandon as well as an accountability/prayer partner? (required)

—Please choose an option—Yes, bothJust Pastor BrandonNo, we don't have an airfare budget

Are you able to provide a hotel or other adequate housing while Pastor Brandon is with you? (required)

YesNo

Who is your event geared toward? (required)

StudentsCollegeYoung AdultsAdultsBusiness LeadersMinistry LeadersPastoral Teams

Have you hosted this event before? (required)

YesNo

If yes, who were the previous speakers??

What is your budget? (required)

Honorariums/speaking fees vary depending on dates/event. Knowing up front helps Pastor Brandon accommodate your needs

Any additional information to know?

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