*Title or Position
Event Website or Registration Link
*Organization Phone Number
Senior Leader’s Name
*Number of Congregations Involved
*Expected Number of Attendees
*What is the capacity of the event facility?
Please list any other speakers if invited
*Event Start Date
*Event End Date
*Are your dates flexible?
*How did you hear about us?
*Please give a brief description of your ministry, as well as what you feel our ministry would contribute to your vision.