Heart to Heart International Ministries - Speaking engagement request form

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Heart to Heart International Ministries
Speaking Engagement
Request Form

Please fill out all the following information
in regards to your Ministry:

Name of Ministry:
*
Pastor's Name(s):
*
Address:
*
P.O. Box Info:
City State Zip:
*
Phone Number of Ministry:
*
Phone number of contact person:
*
Name of Contact Person:
*
Who is desired to come speak at the event scheduled?

Other
Date of the engagement:
*
Time of Engagement:
*
Will the speaking engagement be held at your ministry?

If no fill out the address and location of event:
What is the time allotted for speaker(s)?

if other please specify:
What is the time desired for speaker to begin?
*
Is there a specific dress code or topic for this event? If so Please specify:
What is the theme or name of conference?
*
Is there any special request for the event scheduled? Please specify:

How many selections

Does your ministry have a Keyboard what kind?
*
Does your minstry have a C.D. player
*
Does your ministry have Microphones how many?
*
Does you ministry have drums?
*
Security code:
*
Do not enter anything in this field:

* indicates a required field

Please read the following information:
Preferences:

While ministering, Bishop Jerome and Pastor Tonia Taylor prefer to drink room temperature bottled water. ( Aquafina, if possible)
Green Tea (citrus) for Pastor Tonia after ministering.
No pork or seafood on the menu.

Bishop Jerome Taylor and Pastor Tonia Taylor's bio can be pulled from our website. The address is http://www.hearttoheartmcsc.org/

Bishop Jerome and Pastor Tonia Taylor will receive a love offering of any amount that the Lord lays upon your heart to give.

While ministering, Bishop Jerome Taylor often uses and Easel Board or a Chalk Board. Please inform us if you don't have one.

We require four (4) - six (6) weeks notice from the event date so that we may make the proper arrangements to attend.

Please mail or fax all information to:

Heart to Heart International Ministries
P. O. Box 1938
Moncks Corner, SC 29461
Attention: Fiona Varner P.A.
Fax (843) 761 - 5114
Cell (843) 345 - 0519

by submitting this form I agree that all the information listed
above is accurate to the best of my knowledge. I understand
that I am responsible to inform you of any changes that might
occur in regards to this engagement scheduled.

Bishop Jerome and Pastor Tonia Taylor would like to thank your
ministry again for the invite and look forward to an awsome time
of fellowship. God Bless...

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Heart To Heart International Ministries
106 Behrman St. | Moncks Corner, SC 29461

PH: 843 899 HHIM (4446)

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