Name of Church/Ministry making invitation

Pastor's Name   

Address   

City/State (Province)   

Zip or Postal Code    

Country   

Telephone   

Fax Number    

Your Contact Email Address    

Contact Person (if different from pastor)   

Nature/Type of planned meetings   

Other Confirmed Leaders or Speakers   

Number of Congregations involved    

Number of people expected to attend   

Specific Dates you are requesting   

Speaking Schedule   

I have read and agree to the ministry policy.