Speaking Engagement Request

Thank you for your interest in requesting Pastor Johnson to speak at your next engagement. Please fill out the following questionnaire in its entirety and click the submit button to complete the process. Please contact us at 864.243.9305 with any additional questions.

* Denotes required fields.

Host Ministry Information

*Sponsor / Host of Event :

*Name of Organization:

*Address:

*City:

*State:
South Carolina (SC)Georgia (GA)Alabama (AL)Alaska (AK)Arkansas (AR)Arizona (AZ)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)Florida (FL)Georgia (GA)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT) Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Washington (WA)District of Columbia (DC)West Virgina (WV)Wisconsin (WI)Wyoming (WY)

*Zip:

*Country:

*Email Address:

*Re-Enter Email Address:

*Phone:

*Location of Meeting (If Different from Ministry):

*Lead Pastor's Name:

*Social Media URLs (Facebook, Twitter, etc):

*Please, enter your website url:

*How long has your church/ministry been serving your community?:

Booking Request Information

*Desired Dates:

*Service Times:

*Theme Title:

*Projected Attendance:

*Type of Engagement:
ConferenceChurch ServiceRetreatOther

*Closest Airport:

*Describe the event:

Event Budget

*Is there a registration fee?:
YesNo

*Are you receiving love offerings?:
YesNo

*Speaker Budget:

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