Request Adrienne S. Young

BOOKING REQUEST
Event Details
Host/Organization Name*
Event Name*
Event Date*

MonthDayYear
Date
Event Time

:HourMinutesAM/PM Option
Event Timezone ex. America/Eastern Standard Time*
Event Description*
Event Type*

ConferenceWorkshopChurch ConferenceWorship ServiceInterview RequestOther
How would you like Adrienne S. Young to participate in your event?*

Keynote SpeakerWorkshop Speaker/PresenterInterviewPanelistPanel FacilitatorBreakout FacilitatorConsultantMedia Interview (TV, radio, podcast, print, podcast, etc.)Other
Speaking Fee Budget*
NOTE: This fee budget covers the time and preparation needed to fulfill the requested participation, as well as the time required to travel to and attend your event. It does not include the costs for travel, lodging and ground transportation. For media interviews, put in n/a.
Closest Airport/Station if Applicable
Venue Name*
For media interviews, put in Adrienne's home.
Venue Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Doors open
Speaking Time(s)*
Speaking Duration (In Minutes)*
Event Website
Deadline to Respond*
Will Minister Young be able to sale products at your event? i.e. books, oils, etc?*

YesNo
If yes, will a table be provided for her?

YesNo
How did you hear about Adrienne? Who can we thank! Or did you find us via a Google Search, Social Media, Website, etc?*
Contact Details
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Your Role/Title*
By submitting this booking request form, we agree that travel, lodging, and ground transportation will be provided, if applicable, in addition to the fee we are offering. *Adrienne Young's Team reviews and accepts a limited number of speaking requests each year. Thank you in advance for your gracious invitation and understanding. We will respond to your invitation within 72-business hours.
YesNo
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BOOKING REQUEST

Event Details

Contact Details