Looking for a Grace Foundation representative to speak at your event? Complete this form to submit your request. We will respond as soon as possible. Organization (required) Contact Person (required) Your Email (required) Phone Event Date Event Time Event Address City State/Region Country Speaking Time Under 30mins30 minutes to 45 minutes45 minutes to 1 hourOver 1 hour Audience Demographics Audience Size Event Description Request Type KeynoteLecturePanelRoundtableSymposiumInformational Booth Speaking Topic Travel Expenses Provided NoneAir/Train travelHotelHonorarium Honorarium/Speaking Fee Amount A/V Equipment Available NoneProjectorScreenDVD PlayerSpeakers Do you need the speaker’s bio? Yes No Do you need the speaker’s photo? Yes No Is there media coverage at the event? Yes No Any other needs or information?