Please enable JavaScript in your browser to complete this form.Church Name *Pastor Name *FirstLastOffice Phone Number *Office Fax NumberPastor Email *Church Email *Contact Name *FirstLastContact Email *Event VenueLength of service *Preferred Attire *Dress Code/ Attire to be wornWhat is the vision and purpose of this event? *What is the doctrinal stance that under girds your event? *Event Theme *Event Scripture Reference *Expected number of attendees *Target Audience Age *Seating Capacity *Target Audience *MenWomenYouthAllEvent Type *RevivalConferenceCrusadeLectureOtherWhat is this event type in detail?Honorarium *Compensation due upon arrival of PastorAdditional InformationCommunity Christian Church reserves the permission to capture audio and video of Pastor Eddy Gervais teaching. This content will be used for distribution on the church's website. *I agreeI disagreeCommentSubmit
