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LEE JENKINS
Book The Stewardship Coach
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Ministry/Organization Name
*
Pastor/Host Name
*
Ministry/Organization Website
Ministry/Organization Address
Address Line 1
Address Line 2
City/State
*
First
Last
Zip/Country
*
First
Last
Phone/Fax
*
First
Last
EVENT INFORMATION
Please share with us details about your ministry/organization event.
Event Name
*
Type of Event
*
Banquet/Luncheon
Church Anniversary
Church Dedication
Conference/Convention
Convocation
Media Request (i.e., interview, radio/TV appearance, etc.)
Pastoral Anniversary
Pastoral Installation
Revival
Special Program (i.e., graduation, legislature, etc.)
Worship Service
Worship Service
Event Date
*
Event Start Time
*
First
Last
Event End Time
*
First
Last
Event Address (if different than above)
Event Address Line 1
Event Address Line 2
Event City/State
*
First
Last
Type Time theme,
Event Zip/Country
*
First
Last
Event Attendance
*
<50
51-150
151-300
301-500
501-1,000
1,001-1,500
1,501+
Will this engagement be broadcast live via the Internet or television?
*
Yes
No
Do you allow the sale of media products?
*
Yes
No
Additional event details (e.g., theme, multiple dates, event type, etc.)
Names of other participating speakers and their ministry dates and times
EVENT CONTACT PERSON
Please provide the name and information for the person who will be our primary contact.
Contact Person
*
First
Last
Phone Number
*
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