D2S Speaker Request Form - Greg Stier
Event Name
:
Date(s)?
Contact Name
Phone:
Email:
Website:
Venue Name:
Venue Address:
Venue City:
State:
Zip Code:
Provide as much of the following information as is possible to best describe your event:
Check all descriptions that apply:
One Time
Annual
Private
Public
Ticketed
Free
Congregation
Community
Regional
National
International
Event Objective:
Will Greg be the only speaker?
Yes
No
If No, who else will be speaking?
Can Greg give the Gospel and an invitation for salvation?
Time(s) of day and lengths of time Greg would speak:
Is there a specific topic you want addressed? (Please list topic)
Best describe typical speaker attire:
Jeans & T-shirt
Jeans & casual dress shirt
Slacks & sport coat
Suit & tie
Denomination Affiliation:
Who will be attending? (Check all that apply)
Students
Youth Leaders
Parents
Ministry Leaders
Unchurched
Churched
Total Expected Attendance:
Total Expected Youth Leaders:
Total Expected Students:
Potential Dare 2 Share promotional opportunities:
Event Website Presence
Slide on Screens
Seat Drops
Ad in Attendee Material
D2S Promo Video Shown
Booth Space Available
D2S Information Table
Would D2S be permitted to sell product?
Yes
No
Can you provide volunteers?
Yes
No
Name and phone number of contact for shipping:
Shipping Address for product:
Opportunity for Youth Leader only session?
Yes
No
General Media Capability Options:
ProPresenter
Power Point
Video
Can you reproduce handouts, if so what are the requirements or limitations?
How do you plan to market this event?
What requirements and deadlines will we need to meet for your promotional materials?
Invoice/Billing Address (if different from above):
When do you plan to make a decision?
Honorarium Information:
SPEAKERS CONSIDERATION:
(Please check boxes)
In consideration of the D2S Speaker’s agreement, Promoter will pay Dare 2 Share Ministries International a one-time inclusive honorarium of four thousand five hundred dollars ($4,500.00) for the first presentation day, and one thousand two hundred and fifty dollars ($1,250.00) per day for additional travel or presentation days if required by Promoter. For events of more than three (3) days the Promoter may be asked to pay for additional family travel expenses. This one-time honorarium will include related travel expenses such as, air travel, ground transportation, hotel accommodations and meals. In some rare cases where these travel related expenses are exceptionally more expensive, the Promoter may be ask to provide additional compensation, which will be determined and agreed upon by both parties in writing via the speaking contract. The promoter may also be asked to pay any extraordinary miscellaneous expenses directly related to the Event, which would also be agreed upon by both parties in writing before expenses are incurred. Speaker understands and agrees that no additional fees or royalties will be paid.
Contract Information
If approved, we will send a contract to follow that must be signed and dated.
The completion of this form does not confirm any agreements or contracts.
Questions/Notes:
How did you hear about Greg Stier or Dare 2 Share?
Need assistance with this form?