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Ministry Request Form
Pastor Vernon Fox III speaking request
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* Indicates required question
Email
*
Your email
Ministry Organization
*
Your answer
Contact Person / Title
*
Your answer
Phone
*
Your answer
Website
*
Your answer
Please list social media handles
Your answer
Date of Event
*
MM
/
DD
/
YYYY
Time of Event
*
Time
:
AM
PM
Address of Event / Virtual Platform
*
Your answer
Requested Arrival Time for Pastor V
Time
:
AM
PM
Type of Event / Program
*
Your answer
Event Title / Theme
*
Your answer
Length of time requested for ministry session(s)?
*
Your answer
Event Attire
*
Casual
Business Casual
Formal
Other (detail in comments)
Requested Topic(s)
*
Your answer
Are there any specific details you desire to share regarding the ministry session(s)?
*
Your answer
Estimated Attendance
*
Your answer
Audience Demographic
*
Your answer
Are there plans for the session to be filmed?
*
Yes
No
Maybe
Is there an honorarium that will be shared?
*
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Please list any media marketing resource requests (bio, photos, etc.)
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Comments, Questions, Additional Requests
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