Seminar Request Form:

Person assisting conference:
Church:
City:
Address:
State/Province:	Zip:
Country:
Ministry you develop:
Main Contact Telephone:	() -
Fax number:	() -
Email Address of Person to contact:
Church or Ministry you are representing:

Please answer the following questions:

1. How many people are coming?
2. Will this include Sunday morning church?	Yes   No
3. Will they attend to the luncheon?	Yes   Church

  4. Is this your first event?                Yes   No

If you have any questions or comments please feel free to include them, and we will be happy to respond to your questions or concerns.