Speaker Submission Form

Educate & Inspire

Thank you for considering a speaking engagement at Unity of Houston. For this purpose, please complete this form in its entirety. All proposals are considered by the church’s Special Programs Committee (SPC). This Committee meets quarterly to plan for upcoming events.

You may complete this application in MS Word. All boxes will expand as needed as you write. Your application will automatically be forwarded as an attachment to specialevents@unityhouston.org for review. You can mail any additional materials ( books, marketing materials etc.) to the address below.

Unity of Houston
Attention: Special Programs Committee
2929 Unity Drive
Houston, TX 77057

Step 1 of 6 - GENERAL CONTACT INFO

Requestor’s Name:
First Last
Proposed Date(s) & Year of Event:*
MM slash DD slash YYYY
Organization:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website:*
Title:*
Email #1:*
Email #2:
Phone( mobile) :*
Phone (2):

Organization Name	Location/City	Contact Name	Phone Number	Email

Educate & Inspire

Step 1 of 6 - GENERAL CONTACT INFO

Travel Expenses

Marketing

Other Information

Title	Publisher and Date