Request Pastor

Church / Organization Name:

Senior Pastor:

Country:

Address Line 1:

Address Line 2:

City:

State:

Postal Code:

Phone:

Website:

Contact Person Full Name:

Contact Person Email:

Requested Date of Event:

Times of Event:

Brief Description of Event and its Purpose:

Others Ministering:

Has Pastor Nichelle ever ministered in your church?
 Yes No

How did you first hear about Pastor Nichelle?

Will Pastor Nichelle be able to receive a special love offering for her ministry?
 Yes No

Will Pastor Nichelle be permitted to sell product?
 Yes No

May we have at least two (2) tables to display and sell ministry products?
 Yes No

Can you provide at least two (2) volunteers to help work the tables?
 Yes No

Seating Capacity:

Expected Attendance:

Average Sunday Attendance:

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