Rita Sweatt

Speaking Information

Name of

Church/Organization _____________________________________________________________________________

Contact Person _________________________________________Phone _________________Cell_____________

E-Mail address of Contact Person _________________________________________________________________

Date of Event _____________________________________Time of Event_________________________________

Type of Event____________________________________________________________________________________

Theme or

Topic____________________________________________________________________________________________

# Times to Speak ________Allotted Time to Speak ___________________Estimated Attendance ________

Location of event and physical address where the event will take place (for gps use) _______________

_________________________________________________________________________________________________

Are you willing for this information to be put on the www.ritasweatt.com website? ___________________

Are you willing to provide a table to make available for sale Rita's teaching DVDs and singing CDs?_________

*Please go to mapquest.com and check the mileage from Amory, MS 38821 to the location of your event.
____________total miles (you must double miles to figure the round trip total miles)
Reimbursement for mileage will be_______________ (53 cents per mile)

If you would like to provide any additional helpful hints in finding the location, please feel free to elaborate on driving directions. Thank you!

Honorarium in addition to travel ___________________________________________________________________

*Suggested minimum of $2 per person attending

Please return this completed form within 7 days to:

Rita Sweatt
1511 Cainwood Drive
Amory, MS 38821

662-256-7249

sweattrita@yahoo.com