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Rebecca A. Harris

Speaker Inquiry Form

*Organization or Church Name

Address of event

*Your first name

*Last name

*Your Position/Title in your organization or ministry

*Email

*Phone number

*Speaking Dates

*Information on your event

(i.e. number of speakers, time allotment per speaker, delivery/pick up date restrictions, labeling boxes in a particular way, etc.)

*Budget range

*Closest major airport

*Information on your last event

Theme, attendance, number of speakers

*Any important information or requests regarding Becca's message?

Theme, speaking style (master classes or keynote/testimonial speech), expectations of content

*How did you hear of Becca?

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“Forget the former things; do not dwell on the past. See, I am doing a new thing! Now it springs up; do you not perceive it? I am making a way in the wilderness and streams in the wasteland."

Isaiah 43:18-19 NIV

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