If you live in Canada, you can request a speaker for your event. Please fill out the form below and we will contact you shortly.

Please keep in mind that there may be a meeting scheduled in your area. To see what meetings are planned, please
click here.

First Name:

Last Name:

Address:

City:

Province:

Postal Code:

Email:

Phone: 

Phone (Alt): 

Name of Church Requesting:

Proposed Meeting Location

Address:

City:

Province:

Postal Code:

If you have a preference for possible date(s),
please enter the information:

Would you like to request a specific VOMC representative?
If yes, please specify:

YesNo

Estimated number in attendance:

Additional comments: 

Please review the information to ensure that everything is correct. When ready, click "Submit."

For Your Security:

In submitting your contact information, you can be assured that we will not share this with anyone else and that you are only requesting a speaker.

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If you have questions or concerns, please contact us.