The Goretti Group - Promoting purity in all walks of life

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Speaker Request

Please complete the following form if you would like to receive more information about getting a speaker to come to your group.

Basic Information
Name of Church/Facility
Location (City)
Day/Time
Length of Talk
Age of Listeners
Has Audience Heard a Chastity Talk Before?	Yes No
Point of Contact Information
Point of Contact Phone Number
Point of Contact Email
Event Point of Contact Name
Name of Church/Organization
Address
City
State
Zip
Additional Questions
Are there any particular points we need to cover in the talk?
How deep is the faith of the audience?
Will the talk be open to the public?	Yes No
Will parents be present?	Yes No
Will a chapel be available one hour prior to the start of the talk?	Yes No
Speaker Requested
Talk Requested

The Goretti Group, Inc is a Tax Exempt Org 501(c)3 - EIN #20-5017375 FED - STATE #2595593 Charitable Organization