Speaking Request Form « Heart of the Artist

Heart of the Artist. Rory Noland.

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Contact Person's Name*(required)
Phone*(required)
Email Address(valid email required)
Name of Church or Organization
Church Street Address*(required)
City, State, Zip*(required)
Date(s) you'd like to book Rory to speak*(required)
How many times will Rory be speaking and for how long?
What is the nature of this event and how many people will be attending?
Where will the event be held?

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