Request Lady Bri - Fellowship Chicago

Ministry/Organization Information

Please tell us about your ministry or organization

Name of Ministry/Organization*

Pastor/Host Name*

Ministry/Organization Website

Ministry/Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Event Information

Please share with us details about your event.

Event Name*

Is the event location the same as the ministry address?*

Yes
No

Location of Event*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Which of the following are you requesting Lady Bri do?*

Type of Event (Select One)*

If "Banquet/Luncheon" please list the occasion*

If "Conference" please list the name*

What is the specific conference topic you would like for him to address?*

If "Revival" please list the name*

If "Workshop" please list the name*

What is the specific workshop topic you would like for him to address?*

If "Worship Service" please list occasion*

Event Attire*

Day of the Week Event is Taking Place*

Event Date*

Event Start Time*

:

Event End Time*

:

Is the event located outside of the state of Illinois?*

Yes
No

Closest major airport to the event city?*

Please provide Airport Code (i.e. MDW - Midway International Airport | ORD - O'hare International Airport)

Anticipated attendance for event*

Will this event be broadcasted live via the Internet or Television?*

Yes
No

How much time will Lady Bri have for her portion of the event?

Additional Event Details (i.e. Theme, Event Scripture, etc.)

Names of other participating speakers and their ministry

Please feel free to upload any supplemental material for this request (i.e. Promotional Flyer, Speaking Proposal, etc.)

Drop files here or

Max. file size: 256 MB.

Contact Information

Please provide the name and information for the person who will be the primary contact

Name of Primary Contact*

First Last

Primary Contact Email*

Enter Email Confirm Email

Primary Phone Number*

Alternate Phone

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Speaker Request Form

Speaker Request Form

Lady Bri is delighted that you would consider her to minister during your event. We request that you complete the form below and our administrative team will contact you soon. Please note that this form is a request for information and should not be considered a confirmation of attendance.

Ministry/Organization Information

Event Information

Contact Information