Conference Line Online (Virtual Meeting) Speaking Engagement Request Speaking Engagement FormWho is the request for? (Select one option) Dr. Samuel Amaku Dr. Veronica Amaku Both EitherYour contact info: Full NameOrganization/Church NameEmailPhone/MobileEvent Details: Event NameEvent TypeEvent TypeConferenceChurch ServiceRetreatLeadership TrainingPrayer GatheringOtherDateText InputTimezoneTimezone(GMT -12-00) Eniwetok, Kwajalein(GMT -11-00) Midway Island, Samoa(GMT -10-00) Hawaii(GMT -9-00) Alaska(GMT -8-00) Pacific Time (US & Canada)(GMT -7-00) Mountain Time (US & Canada)(GMT -6-00) Central Time (US & Canada), Mexico City(GMT -5-00) Eastern Time (US & Canada), Bogota, Lima(GMT -4-00) Atlantic Time (Canada), Caracas, La Paz(GMT -3-30) Newfoundland(GMT -3-00) Brazil, Buenos Aires, Georgetown(GMT -2-00) Mid-Atlantic(GMT -1-00) Azores, Cape Verde Islands(GMT) Western Europe Time, London, Lisbon, Casablanca(GMT +1-00) Brussels, Copenhagen, Madrid, Paris(GMT +2-00) Kaliningrad, South Africa(GMT +3-00) Baghdad, Riyadh, Moscow, St. Petersburg(GMT +3-30) Tehran(GMT +4-00) Abu Dhabi, Muscat, Baku, Tbilisi(GMT +4-30) Kabul(GMT +5-00) Ekaterinburg, Islamabad, Karachi, Tashkent(GMT +5-30) Bombay, Calcutta, Madras, New Delhi(GMT +5-45) Kathmandu(GMT +6-00) Almaty, Dhaka, Colombo(GMT +7-00) Bangkok, Hanoi, Jakarta(GMT +8-00) Beijing, Perth, Singapore, Hong Kong(GMT +9-00) Tokyo, Seoul, Osaka, Sapporo, Yakutsk(GMT +9-30) Adelaide, Darwin(GMT +10-00) Eastern Australia, Guam, Vladivostok(GMT +11-00) Magadan, Solomon Islands, New Caledonia(GMT +12-00) Auckland, Wellington, Fiji, KamchatkaYour Location: FormatFormatIn-PersonVirtualHybridVenue namePlatform (Zoom, WebEx, etc. for virtual)CityStateCountryCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsAudience Information: Expected Audience SizeAudience TypeAudience TypePastors / LeadersYouth / Young AdultsGeneral CongregationWomenMixedSpeaking Details: Topic / Theme RequestedPurpose of the EventRequested RoleRequested RoleKeynote SpeakerGuest PreacherPanelistWorkshop FacilitatorDuration RequestedLogistics: Is an honorarium provided? Yes NoTravel & accommodation covered? Yes No N/AAdditional DetailsAlignment Question: Briefly describe how your event aligns with the mission of reconciliation, unity, or leadership development. Additional NotesCheckbox Field I understand that submission of this form does not guarantee availability.Submit Your Invitation
