Host Invitation

If you are interested in having Chris and/or Phileena Heuertz speak, teach, or consult with your organization, university, company, church, or community please fill out the Speaker Intake form below and someone from Gravity will be delighted to contact you.

*
- Invite Chris
- Invite Phileena
- Invite Chris and Phileena
Event Date*
MM slash DD slash YYYY
Event Time*

: Hours

Minutes

AM/PM
Event Name*
Event Venue*
Event City, State*
Event Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Website*
Honorarium Amount ($USD)*
Airport to fly in/out*
Day & time of flight arrival/departure*
Hosting Organization*
Hosting Organization Website*
Is the event private or public?*
Is there a registration or ticket cost for the event?*
Ticket or Registration Cost*
Expected Attendance*
Audience Description (demographic)*
Audience Description (faith background)*
Event Description*
Event Objective*
What do you hope to accomplish by having Gravity's speaker at your event?*
How can Gravity's speaker best support your event?*
Would you like yoga to be a part of your event?*
Proposed Event Schedule*
Proposed Schedule for Speaker Duties*
Host Contact Name*
First Last
Host Contact Phone*
Host Contact Email*
Event Contact Name*
First Last
Please provide contact info for Gravity's Calendar on the website.
Event Contact Email*

Please provide contact info for Gravity's Calendar on the website.
Event Contact Phone*
Please provide contact info for Gravity's Calendar on the website.
Verification