Domestic Invitation

We appreciate your interest in having us minister at your Church. Please fill in the form below with your information and we will be in touch. God bless you!

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Name: Email: Comment:

Do you have specific dates in mind or are you open *

Specific DatesOpen to accommodate Alexander/Sandra’s Schedule

Dates you are requesting:

Enter the date(s) you are requesting in the following format MM/DD/YYYY – MM/DD/YYYY

Church/Host Name: *

Senior Pastor & Spouse:

Church Mailing Address:

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Is Church location different than mailing address?

YesNo

Church Phone: *

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Church Fax:

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Email Address *

Church Office Days & Hours:

Church Website:

Denomination:

Total # of Adults in Congregation

Days & Times of Regular Services:

Church Contact Name *

Please include your first and last name

Church Contact Phone Number: *

( ) -

Church Contact Cell Number:

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How did your church/pastor hear about us? *

Speakers you’ve had in the past:

Name of Commercial Airport nearest Venue:

Drive Time:

Champions City Church Domestic Invitation