BOOKING REQUEST FORM

    MAIN CONTACT

    First & Last Name*

    Telephone Number*

    Email*

    Church Name*

    Position (in church or organization)*

     
     

    EVENT INFO

    Name of Event*

    Date of Event*

     

    Event Type*

    Describe the Event*

    Event Venue (name and address)*

     
     

    TRAVEL

    What is your budget for travel expenses? (Will travel be covered for a plus 1? Shane travels with an an assistant, whether that be his wife or a male missionary. Please indicate if there is a budget for this. Thanks!)*

    What is your budgeted honorarium? (all honorariums fund future Shane Winnings events.)*

     
     

    For any questions please feel free to contact:
    Email: [email protected]

    ***If Shane has accepted your invitation and you no longer desire to proceed with the speaking engagement, please let us know 2 weeks prior to the date requested.

     

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