Bishop’s Request Form

"*" indicates required fields

Church Name / Organization*

Pastor's Name*

Address*

Street Address City State ZIP Code

Business Phone

Business Fax

Contact Person*

First Last

Contact Email*

Contact Phone*

Website Address

Event Name*

Event Date(s)*

Event Time*

Event Location*

Event Theme or Purpose*

Microphone Type*

What is the format?*

What is the scheduled speaking time for Bishop Johnson?*

Will the event be recorded?*

yes

Are we allowed to sell resources?*

yes

Are there other preachers / speakers?*

yes

If so, who are they and what will they be speaking on?

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