Request Speaking

If you would like the Pastor to speak at your event, you may make the request below:

Ministry/Organization Name

Pastor/Host Name

Ministry/Organization Website

Ministry/Organization Address

Phone Number

Fax Number

Event Name

Type of Event

Event Date

Event Time (Start-End e.g. 7pm - 9pm)

Event Address (if different from above)

Closest major airport to the event city

What is the approximate distance, in miles, from closest major airport to event location (required for events outside of Alabama)

Anticipated attendance for event

Will this engagement be broadcast live via the Internet or television?

Additional event details (e.g., theme, multiple dates, event type, etc.)

Names of other participating speakers and their ministry dates and times

Primary Contact Person

Primary Contact Email Address

Primary Contact Phone Number