Speaking Engagement Request

Speaking Engagement Form Request Please take a few minutes and fill in the information below. When you have finished press the submit button and someone will respond as soon as possible. Thank you in advance for considering Heart to Heart International Ministries to be a part of your church celebration.

Speaking Engagement Request FormDate: Ministry Name:

Pastor Name:

Church Address: State Zip: Church Phone: Contact Person: Contact person Number: E-Mail: Fax #: Date of Event: Is Event being held at your Church, If not please list address below : Other address: Requested Speaker?

Name of Event:

Is this your Church Anniversary?

Time of Event:

Is there a Dress Code?:

Does your church have a CD/DVD player?

Does your church have a sound system?

Does your church have a stage?

Is there a time frame?: Scripture Reference: Theme or Topic for Event:

Bishop Jerome Taylor would like to thank your ministry for inviting him out to speak. His bios can be retrieved from our web site, www.connnectingtheworldtohim.com.

Preferences: A sealed bottle of Aqua fina water at room temperature while ministering. ( Bishop Jerome Taylor) No Pork or seafood on menu. Bishop Jerome Taylor prefers to drink 100% fruit juices with their meals. Bishop Jerome Taylor will receive a love offering of what ever the Lord lays upon your hearts to give. Please mail or fax all information to: Heart to Heart International Ministries P.O. box1938 Moncks Corner, SC 29461 Attention: Min. Fiona Varner PA Phone 843 345 0519 Fax 843 899 0877I agree that all the info 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 schedule. Sign:

Date:

Phone#:

Bishop Jerome Taylor would like to thank your ministry again for the invite and look forward to an awesome time of fellowship.

Speaking Engagement Request

Speaking Engagement Request

Our Location

Service Times: Every Sun. 10:00 A.M.