BOOKING

If you would like to schedule Brian Rose to speak or lead worship at your upcoming event or seminar, complete the following form and someone will contact you shortly. If you would prefer to speak with us directly, click here to be re-directed to our contact page.

* Required information.

1. Your Name *
2. Your Email *
3. Date of Event *
4. Type of Conference *
5. Is he the main speaker?
6. Other speakers (e.g. Speaker1, Speaker2, etc.)
7. How many plenary sessions are you requesting Brian to speak for?
8. How many workshops or breakout sessions are you requesting him to speak for?
9. Schedule and Duration of speaking times (e.g. Session at 9am on 1/2/11, 1 hr)
10. Any particular topics you would like him to speak about in each session?
11. Estimated number of attendees
12. Makeup of the attendees (e.g. age range, urban, pastors, lay leaders, etc)
13. Organization's name and mailing address
14. Contact person, phone/fax/email info
15. How do you know Brian? (e.g. Where/when did you meet him? Who referred him?)
16. Overall purpose of the conference
17. Location and address of event site
18. Location of nearest airport to event
19. Is a photograph and biography of Brian required?
20. What typical honorarium do you provide for this event?
21. Are you able to cover travel expenses for 1 or 2 additional staff members?
22. Will you purchase Brian's book for each attendee & include it in reg. cost?
Other Notes

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