INVITATION FORM Inviting Party Please give the name of the contact person filling out this form. First Name Last Name Name of Ministry Ministry Address Address 1 Address 2 City State/Province Zip/Postal Code Country Event Event Name Event Theme Speaker Susan Gregory Both Other Speakers Please list other speakers that will be at your event Schedule Dates Susan / Gregory will be speaking Times Susan / Gregory will be speaking Length of time you would like the message to be at each meeting Venue Venue Size Number of people expected Venue address Address 1 Address 2 City State/Province Zip/Postal Code Country Will Power Point be available? Yes No Travel Nearest Airport Contact information for Susan's / Gregory's driver First Name Last Name Email Phone (###) ### #### Susan's / Gregory's rountrip ticket paid for by Inviting Party Yes No Additional Roundtrip ticket paid for by Inviting Party for spouce or an assistant to Susan / Gregory Yes No Accomodations Hotel Name Hotel Address Address 1 Address 2 City State/Province Zip/Postal Code Country Hotel paid for by Inviting Party (Hotel needs to have internet access) Yes No Additional room if Susan / Gregory is traveling with assistant Yes No All meals paid for by Inviting Party Yes No Main Contact (Please leave a contact number that can be reached anytime in the event of a scheduling issue or emergency) First Name Last Name Phone (###) ### #### Email Product Contact First Name Last Name Phone (###) ### #### Email Prodect Address Please provide the shipping address for all product to be sent to Address 1 Address 2 City State/Province Zip/Postal Code Country Please include any special shipping instructions: Product table will be provided Yes No Media Inviting party agrees to supply a copy of any audio/video recordings of Susan Dewbrew to: Kingdom Brewing for use at our discretion Yes No Sessions will be recorded Audio Video Both None Additional Information Please provide any necessary information Thank you!