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Please fill in the fields below:


Email

Today's Date

Date(s) of Event

Name of Ministry

Time Requested for Ministry

Theme

What type of advertising will you do?

 

What other local pastors have ministered at your church?

 

Pastoral Covering

Pastor(s)

Telephone Number

Mailing Address

City

State/Province

ZIP/Postal Code

Country

Home Phone

Fax

Location of Meeting

Expected Attendance for your event (to assist with product preparation)

Occupancy of Facility

For advertising purposes, will you be charging a registration fee?

If so, what amount?

Will the services be audio taped?

Will the services be video taped?

Is the Video BETA?

How many cameras are utilized for taping?

Are we permitted to sell Pastor Bethea's Media?

Will you have a table setup for our use?

Best Phone Number to Contact You?

First Name

Last Name