TODAY'S DATE:  -- mm/dd/yy

NAME OF EVENT COORDINATOR:

NAME OF MINISTRY:

PASTOR'S INFORMATION:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

HOW MANY SERVICES ARE YOU REQUESTING THAT THE SPEAKER MINISTER?   

NUMBER OF ATTENDEES EXPECTED?   

IF THERE IS MORE THAN ONE SERVICE LIST DATES AND TIMES OF EACH:

DO YOU NEED A PHOTO OF THE SPEAKER?       Yes No

DO YOU NEED A BIOGRAPHY OF THE SPEAKER?       Yes No

WILL EXPENSES FOR AN ASSISTANT BE PROVIDED?       Yes No

WILL TRAVEL EXPENSES BE PAID?     YeS No

WILL AN HONORARIUM BE PROVIDED?      Yes No

HOTEL INFORMATION:

Hotel Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone

WILL MEALS BE PROVIDED?       Yes No

NAMES OF NEARBY RESTAURANTS:

NAME OF NEAREST MAJOR AND/OR ALTERNATIVE AIRPORT:

WILL DR. NELSON BE PERMITTED TO SELL PRODUCTS?       Yes No

MAY WE HAVE AT LEAST TWO (2) TABLES TO DISPLAY & SELL MINISTRY PRODUCTS?

  Yes No

CAN YOU PROVIDE AT LEAST TWO (2) VOLUNTEERS TO HELP WORK THE TABLES IF IT BECOMES NECESSARY?       Yes No

IS THERE ANY MISCELLANEOUS INFORMATION YOU WOULD LIKE TO PROVIDE?