Passionate For Purpose

Speaking Packet

Speaking Agreement

Today’s Date: _______________ Church/Business: _________________________ Address: _______________________ State ___________ Zip ____________ Contact Person: ______________________ Phone: _________________ (Best time to call) ___________ AM __________________ PM Length of program: ___________________ Date of program: _________________ Audience size: _______________________

Fee $________________ Less Deposit $ ______________ To be paid on-site at event $ ______________________

If client cancels this agreement, the following payment will be due: ______days prior ___________% of the fee. Audio and/or videotaping of any portion of this presentation (event) is prohibited without prior written permission. Signature: ________________________ (Speaker) Date: ___________________ Signature: ________________________ (Client) Date: _____________________ Please sign and return one copy. Please retain one copy for your files.

A deposit of _______________% of the fee is due upon return of this agreement. The balance is payable on-site the day of the event. Expenses will be billed after presentation.

Event Questionnaire Please print.

1. What is the theme of the event? (The purpose of the program)

2. Date and time of the event. _______________________

3. Number of people expected ______________

What % members ______________ What % guests ______________ Range of ages ______________

4. What other professional speakers will be presenting at this event?

5. What is your goal for this event?

6. Who is the contact person for this event?

Full Name: ___________________ Phone: _________________ (Best time to call) AM/PM

Products Amy has product she would like to make available for your audience at the end of the event. Amy will also be more than happy to autograph or personalize the product as well. May she be permitted to sell products? Yes ________ No __________ If yes, can there be a table and a chair set up prior to the end outside the event or near the back of the event’s entrance. Products can be bought at a group rate depending upon the number of products needed. If you would like to buy the product in advance please fill the bottom of this form out and mail it to PO Box 945 Knightdale, NC 27545. Thank you for your support. 1. Number of products ___________________. 2. Type of product wished to purchase __________________. 3. Where product will be shipped? Address: ___________________________ ___________________________ Phone: ________________________________ Contact Person: _________________________ Today’s Date: __________________________ Your signature: _________________________