To Schedule Dr. Ballard, completely fill out and submit the following form:

    Speaking Request Information for Mark H. Ballard, PHD

    Event Information

    Name of Event:

    Event location/address:

    Start Date:

    End Date:

    Time(s) of event:

    Time scheduled on program:

    Arrive at:

    Event Host / Contact Person

    Name:

    Office Number:

    Cell Number:

    Email:

    Total # of people expected:

    Topic: Is there a specific topic, theme or Scripture President Ballard needs to touch on while speaking at the event?

    Preferred Bible Version:**

    Speaking Time:

    Preferred Dress:

    Travel

    Closest Airport:

    Time from airport to venue:

    Time Zone:

    Recommended Lodging: Dr. Ballard prefers Hilton properties, if available. (Hampton Inn, Hilton Garden, Homewood Suites, Home2, etc.)

    Further instructions that might be helpful for Dr. Ballard:

    Additional Requests for meetings, interviews, meals, other:

    ** President Ballard typically preaches from the New King James Version of the Bible. If you would like him to use something else, please let us know.