Speaking request for:Lead Pastor Melissa Graham Please complete the form below. Church/Organization Information Lead Pastor/Leader Name of Lead Pastor or Leader First Name Last Name Church/Organization Name * The full name of your church or organization Church/Organization Phone Number * (###) ### #### Church/Organization Email * Church/Organization Website http:// Church/Organization Address * (Example: 123 Main St., Apt. 4, Morristown, TN 37814) How did you hear about Pastor Melissa and The Avenue Church? * Contact Information Contact Person's Name First Name Last Name Contact Person's Email * Contact Person's Phone (###) ### #### Alternate Contact Name First Name Last Name Alternate Contact Email Alternate Contact Phone (###) ### #### Event Information Speaking Venue Address Address 1 Address 2 City State/Province Zip/Postal Code Country Start Date of Event * MM DD YYYY End Date of Event * MM DD YYYY Date of Speaking Engagement * Date Pastor Melissa would actually be speaking MM DD YYYY Time of Speaking Engagement * Anticipated start time Hour Minute Second AM PM Date of Speaking Engagement MM DD YYYY Time of Speaking Engagement Hour Minute Second AM PM Time Zone Speaking Engagement is Located In * Arrival Time for Pastor Melissa at Venue * Hour Minute Second AM PM Speaking Engagement Interaction * Open to the Public Online Only Both Other Speakers Involved * Expected Attendance * Type of Event or Service Dress Code * Casual (Jeans & t-shirt) Dressy (Suit & tie) Business Casual (Jeans & jacket) How much time is Pastor allotted to speak? * Is there a specific topic you would like Pastor to speak on? * What is the deadline for scripture notes, graphics, videos, etc.? * MM DD YYYY Travel Arrangements Will all of Pastor's expenses be paid? (travel/lodging) * Yes No Pastor will never travel alone. Will you be covering expenses for the accompanying person? * Yes No Name of airport * Hotel Name * Hotel Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Distance from airport to hotel (miles) * Distance from hotel to church/venue (miles) * Will a rental car be provided? * Yes No Is there any other relevant information that we need to know? Thank you for requesting Pastor Justin to speak at your church/organization! Please allow up to 7 days to receive a response.
