In order for us to help you promote and prepare for your week of meetings, we are asking that you complete this form and submit it to us as soon as possible. Thank you very much. We are looking forward to ministering to your church.

Church Name

Dates of Ministry

Promotional Information

Would you like a news release?

Would you like any posters?

If yes, How many?

Would you like a bulletin insert master copy?

What e-mail address should we send the news release to?

Confirmation (this is only if you have requested posters)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Website

http://

Times of services

Sunday a.m. service

Sunday school

Sunday evening

Weeknights

Monday-Wednesday

Monday-Friday

Other

Weeknight Time

General Questions

Will the team be eating supper on Saturday night at the church or in the host homes?

If at the church, what time will supper be served?

Will the team be eating their Sunday meals at the church or in the host homes?

If at the church, what time will the meal(s) be served?

Have you read through the entire Planning Packet?

Has the travel fee been sent?

Are there facilities available for a youth activity? (a gym, a YMCA that could be rented, etc.)

Will there be any other scheduled activities for the team (nursing home, ministry to shut-ins, men's breakfast, etc.)?

If yes, What, when and where?

Do you have the appropriate RV hookups for our travel unit? (electrical & water)

Do you need a copy of our team member's clearances to work with children?

If you have any questions or concerns, please feel free to contact us.