Speaker Request Form Church or Ministry Name Date Requested Alternative Date Address City State Zip Code Country Phone Number Church or Pastor Email Address Senior Pastor/Leader Website Address Contact person responsible for booking this event Email address of contact Contact Phone Please describe the type of meetings or conference and subject you are interested in scheduling Roland Martinez Will you cover all expenses related to travel for the event (airfare, lodging, transportation, and meals)? The CFL board prefers that Roland not travel alone. Would you cover the expense of a second person to travel? Will there be other speakers at this event? If yes, who Estimated number of attendance Is your church or ministry hosting this event alone or will there be other churches involved Has Roland Martinez previously spoken at your ministry? Yes or No and if yes, when Have you or anyone in your ministry led the marriage study, Two Becoming One? Would you like to request Sally Meredith to speak?