Request Les to Speak at Your Event

Thanks for your interest in having me speak at your next event. Please fill out this form and I'll get back with you soon with my availability. - Les Hughes

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Question 1 of 13

Date of Event: *

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Question 2 of 13

Church or Organization: *

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Question 3 of 13

Location of Event: *

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Question 4 of 13

Phone:

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Question 5 of 13

Website:

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Question 6 of 13

Contact Person: *

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Question 7 of 13

Email: *

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Question 8 of 13

Phone: *

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Question 9 of 13

Requested Topic: *

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Question 10 of 13

Type of Event: (Conference, Retreat, etc.) *

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Question 11 of 13

Number of Speaking Sessions: *

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Question 12 of 13

How many times has your organization hosted this type of event? *

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Question 13 of 13

Additional Information:

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