• Out of State Request Form

  • Please fill out the form completely. Incomplete information will delay processing. Form will not be submitted without required information. If item does not apply, please skip to the next item.

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  • Contact Information

    Please provide contact information
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  • The Service

    Please provide details about the Service
  • Honorarium

    Please provide details about the speaker honorarium to avoid any miscommunications or division as stated in 1Corinthian 1:10

  • Travel Accomodations

    Please provide information regarding the speaker's travel arrangement. Please note: If speaker is required to travel more than 1.5 hours or more, speaker request that host ministry provide a rental car and gas allotment(negotiable). Depending on schedule,distance, airline ticket is required.

    Delta is the preferred airline (Account#2320977172)

     

    *ALL TRAVEL (AIR/RENTAL) NEED TO BE BOOKED THROUGH DR.CANION'S PERSONAL BOOKING AGENT

    RICHARD SCHUTKIN

    (Toll-Free) 1-800-776-7011,(Office)414-769-4800

  • Hotel Accomodations

    Please provide hotel information for the speaker
  • **Please ensure that the hotel room key is available upon his/her arrival to avoid having to stop at the front desk**

     Note: For Out of State Travel, Please provide the following:

    *Meals

    *Ground Transporation

    *Personal Greeter (To greet her at the airport or upon arrival)

     

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  • Ministry Resources

  • Should be Empty: