top of page

Engagement/ Speaker Request

Please complete this form and provide as much information as possible. This will assist us in the initial booking process. Please be aware that this serves as an invitation only, NOTa confirmation; it will assist us in making the best decision possible while doing all we can to meet your requested dates. Please answer the following questions and submit this form.

Engagement/ Speaker Request

We would like for you to

arrow&v

Type of Event

arrow&v

What Date(s) are you requesting ?

What time(s) are you requesting

This Engagement will be at

Event Street Address:

City

State

Zip Code

Audience Gender

arrow&v

Audience Age Group

arrow&v

How many Guest are you expecting

arrow&v

Additional details Topic, special colors, themes etc

Coordinator Contact Information Coordinator’s Name:

Organization:

Contact Number

E-mail Address

Pastor's Name

Church Name:

Website Address

Church Street Address:

City

State

Zip Code

Please review your form before submitting. This is only request and does not serve as a confirmation of booking. You will be contacted regarding your request

Speaking Life Ministries

"Changing Thoughts That Change Lives"

Messenger / Teacher/ Trainer / Inspirational Speaker/ Conference Host

Eileen Fairley is a graduate of Rockdale Bible Institute / Dayspring Bible Institute, with a Bachelor's degree in Biblical Studies.Speaking Life Ministries, founded on Ezekiel 37: 1-10, called forth to serve the Body of Christ and Speak Life to the dry bones and those seeking a victorious life in Christ by sharing the simple truths of the Word.

bottom of page