Speaking Request - Formstack

Thank you for contacting Pastor David Rosales for your speaking needs. Please allow approximately seven to ten business days for Pastor David to prayerfully consider your request, and review his calendar.
Organization Name*
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Phone Number*

Area CodePhone Number
Job Title*
What kind of event is this?*

Regular Church ServiceConferenceRetreatSpecial Event
How many services?
Event day(s)

123
Date/Time*

MonthDayYear
DateHourMinutesAM/PM Option
Event start date

MonthDayYear
Date
Event end date

MonthDayYear
Date
Theme or Scripture (if applicable)
Target Audience*
How many teachings are you requesting from Pastor David?

12
Is there anything other than a teaching you are requesting of Pastor David? (workshops, Q&A, etc.)*
Name of Event Location
Event Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this event outside of Southern California (more than 2 hours driving distance from CCCV)?*

YesNo
Standard travel costs are covered by requesting organization if needed. Will you be able to cover these expenses? (flight, transportation, hotel)

YesNo
What are the two (2) closest airports?
Will you provide Pastor David transportation to and from the airport?

YesNo
Do you have recommended car rental companies?
Will you book the hotel stay?

YesNo
What is the preferred hotel?
Please provide us with the instruction on how to receive hotel cost reimbursement.*
Please check the boxes of promotional material needed.

A photo of Pastor DavidAn event invitation videoA short bio of Pastor David
Comments for Pastor David
Should be Empty: