Sister Helen Prejean – Speaking Engagement Information Request Form

Please fill out this 2-page form in Microsoft Word. Use Tab to move between the fields.

Email the completed form to , or print it out and fax the completed form to 504-948-6558.

Please note that three of the considerations for accepting your invitation are:

  • the number of people in attendance;
  • the location of the event;
  • the honorarium which supports Sister Helen’s ministry.

We request that lodging and transportation be provided.

DATE(S) REQUESTED
Desired dates (January-May or September-November. Sister Helen does not accept invitations during June, July and August): Click here to pick a date.
What time is the event beginning?Click here to enter time.
CONTACT DETAILS
Name of contact person:Click here to enter name.
Office number of contact person: Click here to enter office number
Cell phone number of contact person:Click here to enter cell number.
Fax:Click here to enter fax.
Contact’s position:Click here to enter position.
Contact’s email address:Click here to enter email address.
GROUP DETAILS
Name of group:Click here to enter group’s name.
Mailing address of group:Click here to enter mailing address.
Group’s website:Click here to enter group’s website.

Please continue to the next page to fill in the details of the event.

EVENT DETAILS
Event location:
Street Address 1:Click here to enter text.
Street Address 2:Click here to enter text.
City and state:Click here to enter location.
Name of nearest airport:Click here to enter airport’s name.
Distance from airportto event:Click here to enter distance.
Is there a specific website for the event?Choose an item.
If so, what is that website:Click here to enter website address.
Approximate number of people attending:Click here to enter number.
Will any other groups or organizations be involved with this event?Click to select your answer
If yes, who?Click here to enter text.
Are you willing to sell Sister Helen’s books (we will provide the books): Click to select your answer
Has Sister Helen spoken there before?Click to select your answer
Honorarium you will pay:Click here to enter amount.
What is the purpose or mission of your group?Click here to enter text.

Ministry Against the Death Penalty

3009 Grand Route St John, #6, New Orleans, LA 70119

Ph: 504-948-6557  Fax: 504-948-6558 