Speaker Information Form

Please use this form to submit all information regarding speakers for events at Ladue Chapel. Staff has discretion regarding all event scheduling.

Committee Overseeing Event(Required)

Committee Contact Person(Required)

Speaker Name(Required)

Title of Presentation(Required)

Date(s) of event(Required)

Description of Presentation(Required)

Equipment Needed

Podium

Screen/Computer Projection

Microphone

Flip Chart with Markers

Overhead Projector

Bibles

Hymnals

White Board with Markers

TV/DVD Player

Computer (Windows OS)

Computer (Mac OS)

Select all equipment needed. Please be aware that the equipment required may determine the available room for this event

Speaker Biography(Required)

Speaker Email(Required)

Speaker Phone(Required)

Speaker Mailing Address(Required)

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

Honorarium Payable To:(Required)

W-9

Max. file size: 15 MB.

Please click here to download a W-9 form in order for Ladue Chapel to process the honorarium for this event. This form can either be filled out electronically and uploaded here or printed, scanned, and emailed to the Church Business Administrator. The honorarium cannot be processed without a W-9 submitted at least 3 weeks prior to the event.

Please share any additional information about your event.

Speaker Information Form

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