SPEAKING REQUEST

If you would like Charles Brown to speak at your conference, retreat, workshop, church event, support group, or training, please fill out the form below.

Please complete the form below

Name *

Name

First Name

Last Name

Organization

Email Address *

Phone *

Phone

(###)

###

####

Name of Event, Type of Event, Target Audience, etc. *

Date(s) of Event *

Location of Event

Any other information (details of event, transportation, lodging, budget, etc.)