Name of the organization hosting the gathering:
Name of the gathering:
Location of the gathering:
Date the gathering begins:
Date the gathering ends:
Date of Alliance Defending Freedom presentation:
Time of Alliance Defending Freedom presentation:
Does the gathering have a website?
Are you requesting an attorney to present?
Name of speaker(s) you are requesting, if known:
If the requested speaker is not available, or we feel a different speaker can better address your topic, would you accept an alternate speaker?
Purpose of the gathering:
Number of guests expected to attend:
Age and background of attendees:
Will there be any other keynote speakers
If yes, please indicate who the other speakers will be.
If this is a panel discussion, who are the other panelists?
Will the hosting organization reimburse the speaker's travel expenses?
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