Event Information


Name of Pastor/Ministry Head/Business Leader	:
Church/Organization's Name	:
Street Address	:
City	:
State	:
Zip/Postal Code	:
Business Phone	:
Business Fax	:
Email	:
Website Address	:
Contact Person	:
Contact Cell	:
Date of Event	:
Time of Event	:
Location of Event	:
Type of Financial Remuneration to Speaker	:
What Is The Format?	:
Will Event Be Recorded?	:
Theme or Purpose	:
Handouts - Can You Make Adequate Copies?	:
Is There a Letter or Brochure?	:
If So, Can You Send Us a Copy?	:
Are We Allowed to Sell Resources?	:
Is There a Visible, High Traffic Area With 2 Eight Foot Tables For The Sale of Resources?	:
Schedule of Speaking Time(s) For Bishop Miller (please inclued time allocated)	:
Are There Other Speakers?	:
If So, Who Are They and What Are They Doing?	:
Who Is Expected To Attend? - The Demographics	:
How Many People Are Expected To Attend?	: