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Book Dr. Rene for Your Event

Dr. Rene is a speaker extraordinaire. Audiences are engaged, entertained and eternally changed. She brings humor, intellect and makes a real connection with her listener's brains.

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Your Information
Your Name*
First Last
Your Title
Name of Organization Hosting Event
Organization Website
Mobile Phone
Work Phone
Email*

Event Information
Who are you Requesting?
Event Type
- Keynote Speaker
- Motivational Speaker
- Guest Speaker
- Panelist
- Bible Study Presentation
- Seminar or Workshop
- Other
Event Type Other (Please Specify)
Event Date
MM slash DD slash YYYY
Event Start Time
: Hours
Minutes
AM/PM
Event End Time
: Hours
Minutes
AM/PM
Event Name
Purpose of Event / About the Event
Role of the Speaker and Speaking Expectations
Target Audience (Check all that Apply)
- Adults
- Youth
- College Students
- Males
- Females
Estimated Audience Size
Open to the Public?
Ticketed Event?
Will any portion of this Event be filmed, recorded, broadcast, or streamed?
Will you provide us a copy for our marketing or merchandising use?
Desired Speaking Topic:*
- How Media & Technology Impacts Today's Generation
- Spiritual Discipline
- Overcoming Strongholds & Unhealthy Mindsets
- Understanding your Identity as God's Child
- Walking in a Modern-Day Ephesus (Book of Ephesians)
Select one of the topics below or suggest your own topic.
Are you a church?*
- Yes
- No
Is there an honorarium available for the presentation?
Deadline for confirmation
MM slash DD slash YYYY

Venue Information
Venue Name
Venue Location
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What audio-visual equipment is available?
- Podium
- Microphone
- Teleprompter
- Flip Chart
- Screen
- Computer
- Projector
- TV
- DVD Player
Additional Information
Optional Comments

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