Schedule a Seminar or Presentation

Before you begin...
Thank you for your interest in having James Muffett speak to your group. Please complete this form to request his attendance at your event. If you should have any questions or suggestions, please feel free to call SSI at 517-321-6233.
Contact Information
Contact Name*
First Last
Contact Phone*
Contact Cell Phone
Contact Email*
Address*
Street Address Address Line 2 City State ZIP Code
Sponsoring Organization Information
Sponsoring Organization*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Organization Website
Venue Information*
- Venue information is the same as sponsoring organization information
- Venue information is different from sponsoring organization information
Venue Information
Venue Name
Venue Contact Name
Phone
Venue Physical Address
Street Address Address Line 2 City State ZIP Code
Equipment: James Muffett will bring his own laptop and projector if needed; please supply electrical, screen, and sound amplification.
Event Information
Event Type*
(i.e. church service, organization event, commencement ceremony, etc.)
Date of Event*
MM slash DD slash YYYY
Event Start Time*

: Hours

Minutes

AM/PM
Event End Time

: Hours

Minutes

AM/PM
Speaking Time*
Honorarium/Offering ($500 - negotiable)
Makeup of Audience
Estimated Attendance*
Choose Topic
Notes/Questions/Additional Venue Information

Before you begin...