Mark Vereen Ministries Engagement Request

Ministry Information

Ministry Name

Ministry Denomination/Affiliation

Ministry Leader/Pastor's Name

Ministry Address

Ministry Phone

Ministry Email

Contact Person Information

Contact Person/Event Coordinator Name

Contact Person Phone

Contact Person Email

This address will receive a confirmation email

Event Information

Event Type

Event Theme

Date Requested

Addt'l Date Requested

Time(s) Requested

Other Speakers

Event Location

Estimated Number of Attendees

Event Attire

Ministerial Information

How did you hear about Mark Vereen Ministries?

Does your ministry have a budget for the speaker?

Yes No

What is the budgeted amount for the speaker?

If not, is your ministry prepared to meet a honorarium?

Yes No

Based on your ministry standard, what is the honorarium amount?

Please provide any additional information that will help us learn more about your event.

Description

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