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Your Information *

First Name

Last Name

Your Phone *

Country

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Ministry/Organization Phone *

Country

(###)

###

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Ministry/Organization Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Details

Free Public Event

Paid Event

Date Requested *

MM

DD

YYYY

Preferred Start Time *

Hour

Minute

Second

AM PM

Preferred End Time *

Hour

Minute

Second

AM PM

Expected Attendance *

100 - 1K

1K - 5K

5K - 10K

10K - 50K

50K +

Expected Audience *

Youth

Young Adults

Married

Single

General

Term & Condition 1 *

All expenses will be assessed to your specific event upon the submission of this form. We will get back to you at our earliest opportunity. This is simply a request form and does NOT confirm an event. All Fields are required for processing your request.

I understand.

Term & Condition 2 *

Each event requires different arrangements. These may include (but are not limited to): deposit, honorarium, travel, lodging and meals. In the case of a confirmation, further details will be made available and included with a final ministry commitment and associated riders.

I understand.

Term & Condition 3 *

I understand that this worship event can not be recorded or filmed for resale without the written permission of John Gray Ministries.

I understand.