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Event Name*

Event Date*

Month

Day

Year

Event Location*

Street Address*

City*

State*

Zip*

Event Purpose*

Prospective Audience*

Pastors

Leaders/Teachers

Church

Men Only

Women Only

Missionaries

College Students

Teens

Community

Expected number of attendees*

How many churches are expected to participate in this event?*

Overall Event Schedule*

SPONSOR/HOST INFORMATION

Church/Organization Name*

Street Address

City

State

Zip

Phone

Website

SPEAKING DETAILS

Number of times Speaker is asked to speak*

Amount of time given to speak*

Specific scripture passage(s) or topic(s) requested*

Additional Requests

Meetings

Interviews

Social Commitments

Other

TRAVEL INFORMATION

Nearest Airport

Distance From Airport to Event Location

PRIMARY CONTACT INFORMATION

First name*

Last name*

Phone*

Email*

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channelingfaithministries@gmail.com

+1 (704) 453-5685

Location

Charlotte, North Carolina

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