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Preaching Request

* Required Fields

Preaching Request for:	Pastor James Corbett Pastor Delores Corbett Both
*Name of Church:
Church Phone Number:
Address of Church:
City, State and Zip Code:
*Pastor's and Spouse (if applicable) Names:
Preaching request extended by whom?:
Is the Pastor of the above name church aware of this request?:	Yes No
Will the Pastor/Pastor's spouse be present during service?:	Yes No
*Date(s) of Service you are requesting:
*Type of Service:
Theme:
Time allotted for speaker:
Time service begins:
Is event open to the public?:	Yes No
Is there a fee for those attending the event?:	Yes If so, please indicate amount in comment section No
Will he/she be the only speaker(s)?:	Yes No
If Women Conference, will only women be present?:	Yes No
If Men Conference, will only men be present?:	Yes No
Lapel or Hand Held Microphone Available?:	Lapel Hand Held Neither Either Other (please indicate in comment section)
Permission to setup for Book/Tape Sales:	Yes No
Parking Information:
Where should the speaker enter the building?:
If overnight stay is necessary, will hotel accommodations be provided:	Yes No
*Name and Phone Number of Contact Person:
Time(s) Contact Person can be reached:
Directions:
Please list any special instructions:
Comments:
*Authentication:
*5 + 4 =	Enter the correct answer to the math question.
Please click the Send button only once.

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