Senior Pastor Name *

First Name

Last Name

Ministry Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Person Name

First Name

Last Name

Are there multiple service times?

Yes

No

Will the event be held in the same location as your ministry?

Yes

No

If "No", please indicate the event address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How is the event being advertised?

Television

Radio

Website

Social Media

Other

Have you invited other churches in the area?

Yes

No

Will Pastor Andy be allowed to sell his products at this event?

Yes

No

Does the facility have IMAG (Video Projection) available with presentation software? (Eg: Propresenter, Powerpoint)

Yes

No

If so, will you have someone available to operate a PowerPoint presentation and project sermon notes during Pastor Andy’s message?

Yes

No

Do you have database software that allows you to project scriptures onto the screens?

Yes

No

Are you video recording this event? If so, please provide a DVD and copy of the video source footage.

Yes

No

Are you audio recording this event? If so, please provide (2) CDs of the audio recording.

Yes

No

Will the ministry be prepared to cover the cost of two airfare tickets and two hotel rooms for Pastor Andy and a travel assistant?

Yes

No

Will the ministry be able to provide room temperature, bottled water before and after Pastor Andy ministers?

Yes

No