Loading
Eco Church Speaker Enquiry Form
Thank you for enquiring about an Eco Church speaker. Please use this form to provide us with details about your speaker requirements.
We will do our best to identify a speaker who can best meet your requirements. One of our Regional Coordinators will get in touch with you shortly to discuss your enquiry.
Your Details
Name
*
First name
Last name
Email
*
Please add me to the:
A Rocha | Eco Church E-News Mailing List
Region
*
Auckland Tāmaki Makaurau
Bay of Plenty Te Moana-a-Toi
Canterbury Waitaha
Gisborne Te Tai Rāwhiti
Hawke's Bay Te Matau-a-Māui
Manawatū-Whanganui
Marlborough Te Tauihu-o-te-waka
Nelson Whakatū
Northland Te Tai Tokerau
Otago Ōtākou
Southland Murihiku
Taranaki
Tasman Te Tai-o-Aorere
Waikato
Wellington Te Whanganui-a-Tara
West Coast Te Tai Poutini
Name of the church or organising body
*
What is your role in the church or organisation that is requesting a speaker?
*
Your Event Details
Event title (if relevant)
Would you like an online or in-person speaker?
*
Online
In-person
Flexible
Please give details about the date of the event (including if it's specific or flexible)
*
Number of people expected to attend the session
*
Who is this session aimed at? The intended audience?
*
What topic would like your speaker to talk about?
*
How long would you like your speaker to speak for?
*
Please provide any additional details about your event that would be helpful for us to know
In-Person Event Only
Location of the event
What presentation facilities will be available at the venue? Please tick all that apply.
- Laptop / computer
- Data projector and screen
- Big screen TV with HDMI cable
- PA system
- Internet access
Depending on the time of day and length of event, would you be able to provide accommodation if needed?
Is the venue close to public transport or is there suitable parking available?
Please check the highlighted fields
✔
✘