The Nicodemus Society - Speaker Request

Do you have pastoral and board support for your request?
Have your church board and pastor approved bringing the Nicodemus Society out to speak?
Your Contact Information
Your Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Pastor's or Leader's Information
Pastor's Name
Your answer
Pastor's Phone Number
Your answer
Pastor's Email Address
Your answer
Church/Organization Information
Information about your church or organization.
Church/Organization
The name of the church or organization we would be speaking at.
Your answer
Proposed Start Date
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YYYY
Proposed End Date
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DD
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YYYY
Proposed Time
What time slots would we have?
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Location
What city and state is your church in?
Your answer
Number of Attendees
Provide a rough estimate of how many people would be attending.
Your answer
Number of W3s
Provide a rough estimate of the percentage of attendees that are W3s.
Your answer
Ability to Cover Costs
What is the extent of your ability to cover costs (e.g. airfare, transportation, hotel, meals, incidentals, etc.)
Spiritual Health
Other Comments
Is there anything else we forgot to ask you?
Your answer
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