Brad Cooper Speaking Request

Thank you for your interest in having Brad Cooper at your next event. With every request that comes in Brad is both honored and extremely humbled. Although he wishes he could fulfill each one his schedule does not allow. In order to keep his relationship with the Lord, his family and NewSpring Church healthy he must keep his acceptances to a minimum. The completed speaker request form will be evaluated by a team of NewSpring Church staff members who assist in determining whether Brad will be able to speak at each event. This aids in guarding Brad’s time and energy.

Event Contact Information

Event Planner *

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Last

Phone Number *

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Email *

Technology Director *

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Last

Phone Number *

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Email *

General Event Information

What is the name of the event? *

General Event Web Site

What organization is sponsoring the event? *

What is the vision and purpose? *

Event Start Date *

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YYYY

Event End Date *

MM /

DD /

YYYY

How many times would you like Brad to speak? *

How long should Brad plan to speak for each message? *

What will be the event schedule (including the precise times of day Brad will speak)? *

What specific topics are you requesting Brad to cover? *

Will you provide NewSpring Church with a master-quality audio and video recording of Brad's session to use at NewSpring's discretion? *

Yes (Audio & Video)

Yes (Audio Only)

No (Please explain below)

Reason for "No" answer:

Who, in addition to Brad, will be speaking at this event?

Additional Speaker Name

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Last

Additional Speaker Name

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Last

Additional Speaker Name

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Last

Additional Speaker Name

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Last

Who is the target audience? *

How many attendees do you expect? *

What is the ticket price for this event? *

$ Dollars . Cents

Is this event open to the general public or by invitation only?

Open to anyone

Invite only

Please provide the registration website for general public events.

How many different churches will be represented? *

When do you require a formal response? *

MM /

DD /

YYYY

Location & Travel Information

NewSpring Church requests to make all travel arrangements for Brad Cooper and his travel associate including airfare, rental car, and hotel. In return one check for reimbursement purposes can be made out to NewSpring Church.

Where will the event be held? *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Which airport would Brad fly into? *

What is the travel time from the airport to the event location? *

When do you expect Brad to arrive at the event location? *

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YYYY

What time? *

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MM :

AM/PM

Will you be covering all of Brad's travel expenses, including housing, meals, and transportation? *

Yes

Partial (explain below)

No (explain below)

Reason for "No" answer:

Brad always travels with a work associate to remain "above reproach". Would you be willing to cover the expenses for this person (without deducting from the honorarium)? *

Yes

Can you recommend specific hotel accommodations?

Honorarium

Honorarium (must be a specific dollar amount to process this form) *

$ Dollars . Cents

If there is anything else you would like to include with this invitation please do so here:

If there is additional documentation you would like to include, please attach documents here:

NewSpring Church reserves the permission to capture audio and video of Brad's teaching. This content will be used for distribution on our various websites. *

I agree

I disagree