Church/Ministry Name *

First Name

Last Name

Senior Pastor/Leader Name *

First Name

Last Name

Contact Person Name *

First Name

Last Name

Contact Person Phone *

(###)

###

####

Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you hosted this event before? *

Yes

No

Can the Church / Ministry cover the lodging and travel expenses for Lindsey's assistant? *

Yes, certainly!

We prefer not.

Can Lindsey bring product? *

Yes, certainly!

We prefer not.