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Pastor Tim Engagement Request
Questions marked by * are required.
1.	Pastor/Host Name: *
2.	Church/Organization Name: *
3.	Engagement Address: *
4.	Mailing (street) Address: *
5.	Phone #: *
6.	Fax #: *
7.	Email Address: *
8.	Church/Organization Length of Existence: *
9.	Event Coordinator: *
10.	Requested Date: *
11.	Type of Event: * Conference Banquet Convention Revival Concert Other
12.	Theme: *
13.	Expected Attendance:
14.	Service Time (AM or PM): *