<p> Speaking Request for Brian Kluth Fax to: 719-634-7933 or Email to: [email protected] If you have questions or would like to discuss any of these items before completing this form, please contact Brian on his cell phone at 719-930-4000.</p><p>Brian has made arrangements with his church to be away for 6 public speaking ministry opportunities per year. Because he is not able to say “yes” to all speaking requests, the following information will help him prayerfully consider your request. Brian is normally scheduling speaking engagements 3 to 24 months in advance.</p><p>How did you become aware of Brian’s public ministry on financial/generosity matters?</p><p>Have you ever personally heard Brian speak before - - live or recorded? If so, when and where?</p><p>Please provide the following details on the event you want Brian to speak at:</p><p>Desired time(s), day(s), and date(s) for the event?</p><p>What city/state (or city/country) will the event be held in?</p><p>What venue will the event be held in (i.e. hotel, camp, church, conference center, etc.)?</p><p>Who will be invited to attend this event?</p><p>Geographical scope of the event: ( )Church ( )City ( )Area ( )State ( )Regional ( )District ( )Natl ( )Intl</p><p>Expected number of people Brian will personally be speaking to at this event: ( )Under 50 ( )50-100 ( )100-200 ( )200-500 ( )500-1000 ( )1000-5000 ( )Over 5000</p><p>Frequency of this type of event for your group: ( )First time ever for this type of event ( )Annual event ( )Bi-annual event ( )Other: Please describe:______</p><p>How many people were at the last similar event?</p><p>Available topics you would like Brian to cover (1 = Definite Interest 2 = Maybe 3 = No interest)</p><p>_____ Fast Facts - National Financial & Generosity Trends Impacting Churches (Seminar format: 30 minutes)</p><p>_____ God's High Calling - Raising Resources for Ministry (Preaching or Seminar format: 30-45 minutes)</p><p>_____ 60 Best Church Practices for Advancing Financial and Generosity Teaching in Churches (Seminar format: 60-90 minutes)</p><p>_____ Sermon on the aMount - Teaching Generosity to Your Congregation (Preaching or Seminar format: 45 minutes)</p><p>_____ 21st Century Paradigms for Meeting Facilities Needs & Funding (Seminar format: 60-90 minutes)</p><p>______Or do you have other specific topic(s) – subject(s) – theme(s) you would like Brian to speak on? If yes, please indicate:______How do you plan on promoting this event?</p><p>Brian’s speaking role would be: ( )The only keynote speaker ( )One of the keynote speakers (Other speakers will be:______) ( )In addition to being a keynote speaker, Brian will also be asked to be a breakout session speaker. ( )Brian will not be a keynote speaker, but will only be a breakout session speaker. Estimated range of the number of people likely to attend his breakout session:______</p><p>Audiovisual - Are you able to provide: ( ) Lavaliere microphone ( ) A podium laptop computer ( ) Video projection machine ( ) Large screen</p><p>Recordings - Are you able to provide any of the following recordings of Brian’s messages? Cassette ( ) Yes ( ) Maybe ( ) No MP3 or digital recordings ( ) Yes ( ) Maybe ( ) No Professional videotaping ( ) Yes ( ) Maybe ( ) No</p><p>Book table - Are you able to have 1 or 2 people to handle a book table for participants to purchase Brian’s resources? ( )Yes ( )Maybe ( )No</p><p>Photo copied handouts for participants: Are you able to have Brian’s 6-10 pages of handout prepared in advance for each person in attendance from Microsoft Word master documents that Brian will provide? ( )Yes ( )Maybe ( )No</p><p>MAXIMUM Generosity Church Resource Guide - As part of the cost for this event, can you afford to provide 1 copy of Brian’s “Maximum Generosity Church Resource Guide” to each church represented at the event at a discounted rate to you of $5 per booklet (which represents a $10 discount off the normal $15 price)? ( )Yes ( )Maybe ( )No</p><p>Per person cost you anticipate charging for this event? $______Do you plan on offering a group discount or group rate for this event? ( )Yes ( )Maybe ( )No If yes, anticipated group rate?</p><p>Although Brian does NOT set or minimum honorarium for his speaking, his past speaking honorariums have normally ranged from $500 to $1500 for leadership events. What honorarium are you able to offer if Brian can accept your speaking request? $______</p><p>Are you able to make the needed arrangements and cover the costs for Brian’s: ( ) Airline travel in and out of Colorado Springs (not Denver) Lodging: ( ) Hotel OR ( ) As a guest in someone’s home Transportation: ( ) Rental car ( ) Loaner car ( ) Someone to personally pick him up and transport him to his accommodations and the event ( ) Meals (This can include eating out with others and/or room service and/or eating at area restaurants)</p><p>Name of your Group/Organization/Ministry/Denomination: ______Main contact person: Position or Title: Street address: City/State/Zip: Work phone: Home phone: Cell phone: Fax: Work email: Website: Personal email: Backup contact person: Position or Title: Work phone: Home phone: Cell phone: Fax: Work email: Personal email:</p>