Speaking/Singing Request Form

Thank you for considering Roy Moye III for your event!

Name

First Name

Last Name

Title

Organization

Address

Phone Number

Event Date

Type of Event

Venue Location

Distance from Wichita, KS

Audience Age

Expected Attendance

Speaking/Singing Budget

Will the venue have a sound system with a microphone?

Will the venue be able to play an instrumental CD or use and Auxiliary cord to play instrumental music?

Will Roy be able to sell his product after the event?

Special Notes