Rita Sweatt

Rita Sweatt

Speaking Information

Name of

Church/Organization _____________________________________________________________________________

Contact Person _________________________________________Phone _________________Cell_____________

Address__________________________________________________________________________________________

E-Mail _______________________________Date of Event _________________Time of Event________________

Type of Event____________________________________________________________________________________

Theme or

Topic_____________________________________________________________________________________________

# Times to Speak _______________Allotted Time to Speak ____________________________________________

Estimated Attendance _______________ Location of Event __________________________________________

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?_________

# Miles From Amory to Location (ROUND TRIP) ______________________ @ 50 cents a mile

Honorarium in addition to travel ___________________________________________________________________

*Suggested minimum of $2 per person attending

Please provide directions to your meeting place from Amory, Mississippi.

(You may attach an additional sheet.)

Please return this completed form within 7 days to:

Rita Sweatt, 1511 Cainwood Drive, Amory, MS 38821