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Archive for the ‘Forms’ Category
Online Book Request Form
September 29th, 2011 |
Author:
bmitchell
Online Book Request Form
HOST MINISTRY INFORMATION
Church/Organization Name:
Office Phone:
?
Format XXX-XXX-XXXX
Office Fax:
?
Format XXX-XXX-XXXX
Email Address:
Website Address:
Street Address:
City:
State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Check if mailing address is the same as above. If different, please fill out the information below.
Mailing Address:
Mailing City:
Mailing State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip Code:
PASTOR INFORMATION
Pastor's Name:
Pastor's Assistant/Secretary:
Pastor's Mobile Number:
Pastor's Home Number:
Event Coordinator's Name:
Event Coordinator's Phone:
Event Coordinator's Email:
EVENT INFORMATION
Check if event address is the same as the host. If different, please fill out the information below.
Event Location:
Event Address:
Event City:
Event State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Event Zip:
Nearest commercial and/or private airport?
Approximate distance from airport to event?
Type of Service(s)
Revival
Camp Meeting
Conference
Special Guest
Other
Type of advertising for the event?
Start Date of Event (mm/dd/yyy):
?
Format MM/DD/YYYY
End Date of Event (mm/dd/yyy):
?
Format MM/DD/YYYY
Event Time(s):
Time Zone:
Eastern
Central
Mountain
Pacific
Alaska
Hawaii-Aleutian
Other Event Speaker(s):
Seating capacity (must accommodate 500+ people):
Expected Attendance:
Will the service(s) be recorded?
Yes
No
Will the service(s) be streamed "live" via the Internet?
Yes
No
Any special event(s) following service(s)?
Do you have a Hammond organ with Leslie speaker?
Yes
No
Other
Do you have a wireless hand-held microphone?
Yes
No
Other
How you heard about Pastor Bates?
Friend
TV
Church
Word of Mouth
Other
Additional Details:
Please enter the following code:
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