Mission Speaker Request

Thank you for submitting a Mission Speaker request! This form should only take a few minutes to complete. Once completed, you will receive a submission confirmation in your inbox that includes full details of your request. Please allow a minimum of 6 to 8 weeks for your request to be processed and speaker to be confirmed. If you submit your speaker request less than 6 weeks out from your event date, we will try our best to fulfill your request but cannot guarantee one will be found.

If you have any additional questions or concerns, please e-mail [email protected].

Event Organizer
Name*
First Last
Address*
Address line 1 Address line 2 City State/Province Zip/Postal code Country
E-mail*
Enter e-mail Confirm e-mail
Phone*

Event Location
Venue name*
Venue address*
Address line 1 Address line 2 City State/Province Zip/Postal code Country
Venue general phone*
Venue general e-mail
Venue website
Is the venue address your preferred mailing address for promotional materials?*
- Yes
- No
Preferred mailing address*
Address line 1 Address line 2 City State/Province Zip/Postal code Country
Will you be providing a meal?*
- Yes
- No
Meal time*

: Hours

Minutes

AM/PM
Data Privacy & Permission*
I AGREE with the terms of the WELS Privacy Policy.
NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.

Day of week (e.g., Sunday)	Service time (e.g., 8:00 AM)

Day of week (e.g. Sunday)	Start time (e.g. 9:00 AM)	End time (e.g. 10:00 AM)

Day of week (e.g. Monday)	Start time (e.g. 10:00 AM)	End time (e.g. 11:00 AM)