Real Relationships

Drs. Les & Leslie Parrott speak annually in more than 40 cities throughout North America and internationally. Their presentation style is fresh, humorous, and immensely practical.

Drs. Les & Leslie Parrott speak annually in more than 40 cities throughout North America and internationally. Their presentation style is fresh, humorous, and immensely practical. If you would like to bring either Les or Leslie or Both of them to your church or business to speak, please complete the speaking request form below and we'll contact you within 1 week to answer all your questions and explore available dates. We look forward to the opportunity of serving you.

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Required Field

Name:		Title:

Church or Organization:

Address:

City:
, State
Zip. Other Zip.
Country

Phone:
( ) -
Mobile Phone:
( ) -
Work Phone:
( ) -
Fax: (dedicated fax lines only, please)
( ) -
Email:

Website:

1.How did you hear about Real Relationships / Drs. Les and Leslie Parrott?

Priority Code:
(If other please specify)

2. What type of event are you interested in scheduling?
	Saturday seminar for couples from 9:00 a.m. to 3:00 p.m. Yes No
	Sunday seminar for couples scheduled in the afternoon following morning service(s) and lunch. Les is available to preach! Yes No
	If you are wanting a different kind of event (e.g., singles seminar, keynote, etc.), please explain the details:

	First Choice of date:	/ /
	Second Choice of date:	/ /
	Third Choice of date:	/ /
	Forth Choice of date:	/ /

3. Les and Leslie are not always available to speak together at an event. Are you willing to have Les on his own? Yes No

4. Where do you plan to hold the event. How many people does the venue seat?

(venue)

(seating)

5. Parrott seminars require a minimum audience of 500 people. How many do you expect to have?

6. Will you be co-sponsoring this event with any other churches/groups?
(co-sponsor)

7. If sponsor is a church, please select the Denomination.

8. What is the nearest major airport and how far of a drive is it from the airport to the event ?

(airport)

(distance)

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