Type of Event(s) Requested

Service / ConferenceActs 2 GatheringPrayer WorkshopWorship Workshop

Name of Organization

Organization's Website

Contact Person

Contact Phone

Contact Email

Venue Name

Venue Type

ChurchConference CenterHomeOther

Event Name

Event Date

Event Purpose and Makeup of Attendees

What your hopes for Sandi and Marla’s participation in your event?

Speaking Topic (if applicable)

Will there be other speakers?

YesNo

Estimated number of attendees