Speaking Request for Jim Burns

Thank you so much for considering Jim as a speaker at your event. Jim considers every request as an honor to be invited. Because of his schedule, he is unable to accept every speaking request, but it is a favorite part of his mission. Please complete the request form below and we will get back to you in a timely manner. If you have any questions, please contact Cindy Ward at Cindy@HomeWord.com, or call 949.487.0217, ext. 104. Again, thanks so much for considering a speaking invitation for Jim.

If you want to book Jim for a SEMINAR instead, please go here.

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Name of Event

Desired Date (Option 1)(Required)

Desired Date (Option 2)

Desired Date (Option 3)

Organization Name(Required)

Organization Website

Contact Person(Required)

First Last

Title of Contact(Required)

Contact Phone(Required)

Contact Email(Required)

Contact Address

Street Address Address Line 2 City State ZIP Code

Event Location - City & State(Required)

Nearest Airport(s)?

Purpose of the Event?(Required)

Start Time of Event?

End Time of Event?

Length of Speaking Time?

Who is the Primary Audience?

Anticipated Attendance (Number of People)

How Many Times Do You Want Jim to Speak?(Required)

What is Your Budget for Honorarium?(Required)

Please contact us if you have questions about this.

Can Jim's Resources be Sold?

If so, can you provide volunteers to help at the resource table?

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Speaking Request for Jim Burns

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