Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Request for a DBU Faculty and Staff Speaker

DBU has faculty and staff available to speak in your church. Please fill out the following information and we will be in touch with you about an appropriate speaker for your event.

Church Name*

First Name

Last Name

Church Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Date of Event*

Type of Event*

Sunday Morning Service Sunday Night Service Wednesday Service

Other:

Any additional information you would like us to know about the event