Conference Request Form

Name of Church/Ministry making invitation *

Pastor's Name *

Address *

City/State (Province) *

Zip or Postal Code *

Country *

Your Contact Email *

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 *

Checkbox Group * I have read and agree to the ministry policy