Thank you for your interest in having Lance Simmons participate in your event. In order for us to prayerfully consider your request, please submit as many details as possible. A return email is required.

Your Information

Dates Requested

Are your dates specific or flexible?

Contact Name (required)

Position

Phone

Cell

Email (required)

Event Information

Church or Event Name

Event Location

City

State

Zip Code

Event Description

Additional Information

Any other details we should consider?