Request a speaker

To request a Coastline Women's Center representative to speak at your church, event, group or business please fill out the form & we will reach out to schedule the speaking engagement. We look forward to sharing more about the ministry with you and the impact of your partnership!

REQUEST A SPEAKER

Request a speaker

Event Name:

Date of Event:

Time:

Expected Length of Event:

Speaker's Expected Arrival Time:

Expected Length of Speaker's Time:

Would you like a specific speaker?

If yes, please specify who:

Free Text

Presentation Details:

Type of Presentation Desired (please check)

Keynote Topic

Testimony

CWC Services/ways to Get Involved

Other

Free Text

Topic of Presentation:

Will there be a space provided for Coastline to display materials?

Yes

Can we offer Jeannie Smith's Books for sell on display table?

Yes

Free Text

Point of Contact Information:

Name:

Title:

Organization/Church/Business:

Phone:

Email:

Venue Name:

Address:

Event Theme & Goals:

Estimated Audience Size:

Audience Demographics:

Additional Invited Speakers:

Will there be media coverage?

Can we share photos of event on social media?

Other Notes:

Request a speaker

Request a speaker

Quick links

Get In touch

Disclaimer