Name of Church/Organization * (###) ### #### Name of Senior Pastor/Leader * First Name Last Name Point of Contact * First Name Last Name Point of Contact Email * Point of Contact Phone * (###) ### #### Church/Organization Website * http:// Instagram Handle of Church/Org * @yourname (###) ### #### Address of Event * Address 1 Address 2 City State/Province Zip/Postal Code Country Closest airport to event * (###) ### #### Date(s) of Event * MM DD YYYY Date Speaker Requested If event is multiple days, what day(s) are you requesting a speaker? MM DD YYYY Type of Event * Conference Workshop Weekend Services Conference & Weekend Services Other Event Details * Share as much information you have about the event. Audience * Who will be at this event? Married couples Men Women Youth Other Attendance * How many people do you expect? 100+ 250+ 500+ 1000+ 2000+ 3000+ Are you prepared to offer an honorarium/speaker fee? * yes no Are you prepared to cover all travel expenses? * yes no Other Information * Is there anything else you would like us to know about your event? Other Guest Speakers * Can you provide the names of other guest speakers who will be at this event? Thank you for reaching out to 24/7 Marriage for your next event. Someone from our team will be in contact shortly.
