Invite Steve to speak.

1. Host Information

Hosting Church/Ministry Name*:

Website of the Ministry:

Host's Name*:

Host's Cell Number:

Host's Email:

Host Administrator's Name:

Admin Cell Number:

Admin Email:

2. The Event

Name of Event:

Theme:

Website for the Event:

Venue and physical address:

Amount of people expected to attend:

Closest Airport*:

3. Requested Dates

Event start date

Event end date

4. Connection

Please describe your connection with Steve Trullinger or Father's Touch

How did you hear about us?

Please give us a brief description of your ministry

5. Additional Information

Resource Contact Name:

Will someone be able to help us run our product table?

Office Number:

Cell Number:

Email:

6. Mailing Address to ship resources to:

Ministry/Church Name:

Address Line 1

Address Line 2

City

State

Zip Code

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