Event Information

Please submit the information below to assist us in our planning. Thank you.
 

Name of Pastor/Ministry Head/Business Leader:
Church/Organization's Name:
Street Address:
City:
State:
Zip/Postal Code
Business Phone
Business Fax
E-mail
Website address
Office Hours
Contact Person
Contact Cell
Date of Event
Time of Event
Location of Event
Type of Financial Remuneration to Speaker?:
What is the format?:
Will event be recorded? :
Theme or Purpose:
Handouts - can you make adequate copies? :
Handouts - can you make adequate copies? :
Is there a letter or brochure? :  
If so, can you send us a copy?:  
Are we allowed to sell resources?:  
Is there a visible, high traffic area with 2 eight foot tables for the sale of resources?:  
Schedule of speaking time(s) for Dr. Chand (please include time allocated):
Are there other speakers?:  
If so, who are they and what are they doing?:
Who is expected to attend? - The demographics:
How many people are expected to attend?:
Questions/Comments?:
 

 
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Dr. Samuel R. Chand offers valuable services to leaders and leadership in church and business.
Helping you reach your potential through leadership development and leadership consultation,
Dr. Chand is an authority on church growth and church health as well as capacity enhancement.
So if you are in need of a life coach or life coaching contact Dr. Chand for a consultation.
He is a sought after speaker and author of the books "Futuring, Whose Holding Your Ladder?, Who Moved Your Ladder?, What's Shaking Your Ladder?"and more.