Church/Organization*
Address*
Contact Person*
Email Address*
Phone Number*
Website
How did you hear about Chad?*
Date of Event*
Event Location*
Theme*
Event Audience*


What date(s) and time(s) do you want Chad to speak?*
What media capabilities are available? (audio, video, etc.)*
Nearest Airport*
What is the distance from the airport to the event?*
What is the time/distance from hotel to event?*