DOX to GO Presenter Form

DOX to GO

Presenter Request Form

Thank you for your interest in having a DOXOLOGY presenter at your event. In order to help us process your request, please complete and submit the following form. Please allow 3-5 business days for us to contact our speaker(s) and get back to you. If you have any questions or need help completing the Presenter Request Form, please send us an email or give Dr. Bev Yahnke a call at 262-253-1888.
Requesting Organization Information
Organization Name
Contact Name*
Prefix First Last
Contact Phone*
Contact Email*
Event Information
Purpose of Event*
Event Date(s)*
Event Location
Other Event Purpose
Please describe the purpose of intended event.
Event Start Time

: Hours

Minutes
Event End Time

: Hours

Minutes
Expected Length of Presentation(s)
Number of Presentations Requested
Requested Presenter(s)
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Presentation(s) Requested
- Keynote
- Bible Study
- Sectional(s)
- Preaching
- Other
Desired Topic
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Desired Topic
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Desired Topic
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Desired Topic
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Desired Topic
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Desired Topic
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Desired Topic
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Desired Topic
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Event Participants
Size of Group

Resources

Doxology provides a safe environment for clergy to reflect on their own spiritual and emotional health and assists them to review and enhance their professional competencies and skills as servants of Christ and stewards of God’s sacred mysteries.