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Speaking Request Form

Gifted with the ability to bring joy to your heart and a smile to your face, Dr. Greg & Erin Smalley combine insightful, practical and passionate teaching that has great application to marriages, families and other relationships as well as to individual growth.

The Smalleys have a passion to help people obtain the knowledge and skills to build healthy, satisfying, and lifelong marriages where both people become conformed to the image of the Lord. Erin also has a passion to help women in their marriage, parenting and everyday issues.

Whether you are looking for a single-night event or 2-day marriage conference, the Smalleys are well equipped to provide you or your church with the necessary tools for enriching marriage and family relationships. Greg and Erin would enjoy the opportunity to discuss your specific needs and customize a speaking event that will have maximum impact for you.

Please answer all questions. Allow 3 weeks for request to be processed.

Speaker Requested	Dr. Greg Smalley Mrs. Erin Smalley
Group Type	Couples Men Women Singles
Sponsor	A value is required.
Contact Person	A value is required.
Address	A value is required.
City	A value is required.
State	-- Select One -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Please select an item.
Zip	A value is required.
Phone	A value is required.
Fax
Email	A value is required.Please enter a valid email address.
Date and location of the event	A value is required.
What topic do you want addressed?	A value is required.
Give a description of the schedule of the event	A value is required.
How many times will the speaker speak? How long is each session?	A value is required.
Approximately how many people will attend this event?	A value is required.
May we sell our materials?	Yes      No
What is the designated honorarium?	A value is required.
Will the expenses for two be covered?	Yes      No
If Dr. Greg Smalley and/or Erin Smalley are not available, would you like a recommendation for an alternate speaker?	Yes      No
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