*Contact Name:

 

*Church/Ministry:

 

*Address:

 

*City

 

 

*State:   Postal Code:  

 

*Phone Number:
 
*E-mail

 

*Size of Congregation or Group:

50-100
100-250
250-500
500-1000
1000-2500
Over 2500

Brief Demographic of Group (Optional): 
 

*Specialized Seminar Request (select one):
Compassion of the Christ
The Final Revolution
Understanding Your Bible
Ordinary People
New World Order
Africans and the Bible
Multilevel Ministry
What God has Joined
The Faith Factor
Other (please specify below)

*Ministry Format (select one):
Worship Speaker
One Day Revival (2 Sermons)
Weekend Revival (3-4 Sermons)
Week Long Revival (5-7 Sermons)
One Day Seminar (2 Sessions)
Weekend Seminar (3-4 Sessions)
Week Long Seminar (5-7 Sessions)
Other (please specify below)

*Dates Requested (provide three options):



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