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S.T.A.C.I.E. Foundation Event Request

Event Request

Thank you for your interest in inviting Lorraine Whoberry to your special event. Please take a few moments to complete the following information.

Contact & Organization Information
Name*
First Last
Email*
Contact Phone*
Contact Cell
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Location Information
Location Name
Type of Location
Example: Theater, Retreat Center, Hotel, Etc.
Location Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Location Phone
Nearest Transportation Serivces
Airport
Train
Bus
My Role
- Staff Member
- Event Coordinator
- Committee Member
- Special Events Coordinator
- Other
Check all that apply
What were your deciding factors/reasons to invite Lorraine?
Topics of Interest
- Impact of Victimization
- Tragedy to Triumph
- Working With Law Enforcement
- Community Awareness
- Dealing with the Court System
- Execution from the Victims' Standpoint
- Returning Home
- Dealing with the Department of Corrections
- True Forgiveness
- Tender Road
- Amazing Victory
- Unsure
- Other
Check all that apply
Desired Event Type
- Conference
- Seminar
- Benefits
- Other
Number of Teaching Sessions Desired
- 1
- 2
- 3
- 4
- Other
Expected Attendace
- up to 100
- up to 300
- up to 700
- up to 1200
- Other
Please list your first 3 choices for dates
Date Choice One
Date Choice Two
Date Choice Three
Event Day(s) Preferred
- Midweek
- Friday Only
- Friday and Saturday
- Saturday Only
- Other
Registration, Promotion & History Questions
- This is our first event with a guest speaker
- We have held previous events with guest speakers or musicians
- Our main focus is holding Conferences
- This is a Non-Profit Benefit
- We charge a registration fee
- We sell tickets for our events
- We offer our events at no charge due to corporate sponsorship
- Our primary focus for events is our organization
- Our events focus on Community Outreach
- We advertise within our organization as it is not open to the public
- We advertise our events throughout the community with internet and online social networking, and traditional marketing methods
- We promote our events through radio and television
- We need assistance in promoting this event outside our organization and would prefer to utilize your services
Check all that apply
What Speakers and Organizations have you worked with in the past?
Questions, Comments or Additional Information

Event Request

Contact & Organization Information

Event Location Information

Nearest Transportation Serivces

Please list your first 3 choices for dates