Speaking Request Form

Rev. Titus Lee is a dynamic speaker who impacts adults and teens in churches, universities and schools around the world.  Please complete this form to request for him to speak for your next event.  Upon completion, please allow our staff 2-3 business days to reply to your request and/or inquiries. You may also fax your letter of request on your letterhead to 773-471-5284.  Thanks for your speaking request. 

Name of Ministry/Organization:

Physical Address of Ministry/Organization:

City:

Phone Number:

E-Mail:

Website:

Name of Pastor or Director:

Contact Person:

Date of speaking request (if possible include an alternate date):

Describe The Event:

Expected Attendance:

By what date do you need a response?: