CONTACT

Invite Andy to Speak

Interested in having Andy speak at your event? Please complete the following form.

Event*
Enter the name of the event.
Address*
Street Address City State / Province / Region Country
Language
- English
- Other
If Other, Please Specify Language
Will an interpreter be used?
- Yes
- No
Where will the interpreter be?
- On stage with speaker
- In a booth
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Start Time
Enter the time the event will begin.

: HH

MM
End Time
Enter the time the event will end.

: HH

MM
Anticipated Attendance
Target Audience Ages
Topic
List the topic you would like Andy to address. Be sure to include the length of each talk.
Special Remarks
Contact Person
Organization*
Name*
First Last
Email*
Phone*
Expenses Covered
(Check all that apply)
Travel
- Flight
- Flight for one additional family member
- Car Rental
Other
- Meals (Breakfasts @ $15/day; Lunches @ $15/day; Dinners @ $25/day)
- Lodging
Honorarium
Total Amount
Enter Amount in CAD. Please make all cheques payable to Apologetics Canada.
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Comments
This field is for validation purposes and should be left unchanged.

Contact Andy by emailing info@apologeticscanada.com

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