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Kami Passmore Speaker Request

Please fill this out if you are interested in having Kami speak:

First Name

Last Name

Email *

Phone *

Best way to contact you: *

Email

Text

Phone Call

If phone call, best time to contact you. Include time zone:

Organization Name

Organization Website

What type of event? (example: Conference, Church service)

Beginning date

End date

Theme of event:

If conference or retreat, how many sessions and duration of each session?

Expected number of attendees:

Would you be providing Kami's transportation?

Yes

No

Would you be providing Kami's meals and lodging?

Yes

No

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