Conference/Speaking Request Form

Please fill out this form to request a GMA conference at your church. The information you provide helps us know how much product to shop to a conference. Leif is committed to pray about any invitations and requests he receives and will go anywhere the Lord directs him, no matter the size of the congregation.

Church Name:

Senior Pastor:

Church Address
Street:

City:

State:

Zip:

Church Denomination or Affiliation:

Church Phone:

Church Website:

Church Email

Event Coordinator:

Coordinator's Email:

Please list possible dates for hosting a GMA conference:

What is your average Sunday attendance?:

What is your sanctuary seating capacity?:

Overflow capacity?:

How many Sunday services do you have?:

If you have weekly services, please check off when they are:

Monday

Tuesday

Wednesday

Thursday

Friday

How many GMA registrations do you anticipate from your church?:

How many GMA registrations do you anticipate from other churches in your area?:

How many people would you anticipate coming to the evening sessions open to the public?:

Are there other churches in your area that would join together to promote a GMA conference? If so, please list those churches below:

Have you ever hosted a conference or other major event?:	Yes No
Leif Hetland is often requested to speak at the following Sunday Morning Service. Would you be interested in having Leif as your Sunday Speaker?	Yes No
Are you interested in scheduling a GMA Associate to come minister at your church or event?	Yes No
Additional Comments:

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