Speaking Request

First Name

Last Name

Email

Contact Person

Event Location

City

Region/State/Province

Postal / Zip code

Country

Phone

How Did You Hear About Us

Event Day * Required

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Event Time

02:30 PM

Regarding The Speaker * Required

Is there a time limit?

Can Speaker have an alter call?

Can Speaker give prophetic words to attendees?

Can Speaker bring products for purchase?

Facility Name

Mentorship

Information Regarding Your Event

Thank you. We are excited you chose JLP Ministries. We Love You!

Please give us 24 hours to respond.

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