Speaking Event Request

Please complete every field in order to help us prepare appropriately for your event request.

Contact Name:

Organization Name:

Organization Address:

Contact Email:

Contact Phone:

Requested Date of Speaking Event:

2nd Choice Date (if above is unavailable):

3rd Choice Date:

Time of Event:

Duration (How long would you like us to share?):

Requested Topic for us to Share:
 Personal/Family The We Love Isaan Center Ministry Fundraising

Can your organization help cover some event expenses?

 Yes No

If yes, which expenses: (Please note we are very flexible with accommodation and food. We are more than happy to stay with someone rather than a hotel.)< br/>
 Accommodation Travel/Fuel Food

Are the following technologies available? (Please check all that are available.)
 Audio-Microphones, Speakers Computer Connectivity Powerpoint DVD

Can we set up an information table somewhere?
 Yes No

Will a table be provided?
 Yes No

Is it ok/appropriate to have a donation table with items for sale from Thailand? (All (100%) donations support the We Love Isaan Center project.)
 Yes No

Other Comments/Details:

Thank you for your request. We are excited to meet you and share about what is happening in Thailand. We will be in touch shortly with a confirmation email of the scheduled event.