For more information, call (502) 489-2871.
Event Function: (select one) Church Conference/Retreat Youth Training Business School Other
Name Your Position Organization Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Mobile Phone E-mail URL
Preferred Date: -- mm/dd/yy Secondary date: -- mm/dd/yy Estimated attendance: Budget for speaker: $ (minus travel expenses)
Vision for event/other information:
Church Services: Love offering/honorariumAll others: Evaluated on individual basis