Name *
Name
Address
Address
EVENT INFO
IS THIS EVENT SPONSORED BY YOUR CHURCH / CONFERENCE / ORGANISATION? *
DO YOU HAVE PASTORAL AND BOARD SUPPORT FOR YOUR REQUEST? *
Only fill out if this applies to you
NAME OF LOCAL PASTOR *
NAME OF LOCAL PASTOR
TYPE OF EVENT *
TARGET AUDIENCE *
EVENT START DATE
EVENT START DATE
EVENT END DATE
EVENT END DATE
ARE YOUR DATES FLEXIBLE? *
ARE YOU REQUESTING ONE SPEAKER OR MULTIPLE SPEAKERS? *
Who are you expecting?
Please be specific.