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Request Lance for Events

Organization and Event Details

1. 1. Contact person for event *This question is required.

First Name

Last Name

Title

Email Address

Phone Number

Organization Name

Organization Website

2. 2. Event Details *This question is required.

Event Name

Event Website or Registration Link

Event Facebook Page

Event Organizer's First Name

Event Organizer's Last Name

Please provide a brief statement of your vision for this event, and specifically, Lance's role in it.

Event Address

City

State

Zip

Country

Closest Airport

Drive-time form airport to hotel

Expected Number of Attendees

Will the event be recorded?

Are there any other confirmed speakers for this event? If so, please share their names below.

What topic or theme are you requesting Lance to speak about?

Cultural Transformation: 7 Mountain Mandate
Sheep and Goat Nations: The Great Commision
Gods Chaos Candidate: Donald J. Trump and the American Unraveling
Doing Business Supernaturally
The Emerging Micro-Church Era

Which of these categories best describes the event (choose as many as you like)?

Conference
Church Service
Seminar/Workshop
Other - Write In

Are you interested in having Dr. Wallnau promote your event (Facebook, Periscope, Instagram, or E-mail list)? We are happy to discuss our promotional marketing packages (available for an additional fee) by phone at your convenience.

3. 3. Requested Dates

Please indicate the date(s) and time(s) of your event request. Please note that scheduling more than two appearances for Dr. Wallnau requires specific approval. *This question is required.

Event start date (mm/dd/yyyy)

Event end date (mm/dd/yyyy)

Date notes

Are your dates flexible?