Speaking Engagement Request


Date Submitted *
First Name *
Last Name *
Email Address *
Address 1 *
Address 2
State *
Postal Code *
Country *
Phone Number (Include country and/or area code) *
Alternate Phone Number (Include country and/or area code)
Alternate Point of Contact Name *
Alternate Point of Contact Phone number *
Request Pastor Marvin as a guest minister?	Yes No
Request another VCFI minister as a guest minister? Name:
Name of Event *
Dates of Event *
Travel Dates *
Will there be a travel advance? *	Yes No
Will room and board be provided or expenses covered? *	Yes No
Location of Event *
What type of facility will the meeting(s) be held in? *
Name of church or ministry hosting event or host affiliation
Is this a denominational event? If YES, what denomination? *
Description of event including scope and purpose *
Anticipated number in attendance? *