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Event Interest Form

Please complete the Interest Form below, and we’ll be in touch soon.

Event Organizer Information

Event Overview

Type of Event
Event Date
Month
Day
Year
When would you like Amy to speak?
Length of Message Requested
20-30 minutes
30-45 minutes
45-60 minutes
60+ minutes
Workshop/Multi-session
Audience Description

Possible themes: Faith and spiritual growth, Identity and purpose, Healing and transformation, Women’s encouragement, Leadership

Amy will travel free of charge within a two-hour radius of Kernersville, NC. Will travel beyond this area be required?
Yes
No
Would you like to offer "A Story Worth Living" to attendees?
Yes, bulk purchase
Yes, book table
Not sure yet

Thank you for your interest in inviting Amy to speak. Our team will review your request and respond within 5–7 business days.

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