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Your Name (required)
Address
Name of Organisation
Type of Organisation
---
Community Group
School
Church
Mission Agency
Other
Your Email (required)
Phone (required)
Prefered Contact
Email
Phone
I am booking
---
Uber
Mark Sayers
Type of function/event
---
Conference
Church Service
PD day
Assembly
Other
Function/Event Details
Date/s of Event (e.g. 20/05/11 - 21/05/10)
Start Time
Finish Time
Are Uber/Mark the main presenter
Yes
No
How many sessions are you requesting Uber to speak for
How many workshops/breakout session are you requesting Uber to speak for
Are there any particulare topics you would like Uber to speak about
Estimated Number of Guests
Overall purpose of Function/Event
Location & address of Function/Event
What typical honorarium do you provide for this event
If flights are required will you be paying for flights?
Yes
No
Would you be willing to purchase one of Mark's books or another Uber resource for each attendee and include it in the registration cost of the event
Yes
No
How did you hear about Uber
---
Mark's Blog
One of Mark's Books
An Event
Word of Mouth
Brochure
Other