Scheduling Form
Let's start with YOUR information.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Can I text you at that number?
*
Yes
No
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Now, tell me about the church (or event).
Church Name
*
Church Phone
*
Please enter a valid phone number.
Church Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Website
Arrival Date
*
-
Month
-
Day
Year
Date
Departure Date
*
-
Month
-
Day
Year
Date
Event Information (Sunday service, revival, conference, etc...)
How Many Times Will Jason Speak?
How Much Time Will Jason Have To Speak?
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Senior Pastor's Name
*
First Name
Last Name
Senior Pastor's Email
example@example.com
Senior Pastor's Phone
Please enter a valid phone number.
Contact Preferences
*
Feel free to call the pastor
Feel free to text the pastor
Do not call the pastor
Do not text the pastor
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Additional Church Info
These are questions that help us figure out how many resources we should ship to the church.
Average Sunday Attendance
*
Projected Event Attendance
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Travel Arrangments
We prefer to handle all travel arrangements. However, we know that each church has a different policy regarding how travel arrangements are handled. Please know, our desire is not to make things more difficult, but to accommodate you in the best way possible.
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How Would You Like To Proceed?
*
Please Select
We'd like to handle all travel arrangements.
We'd like Jason Mayfield Ministries to handle for all travel arrangements.
Best Airport to Fly Into
*
Best Hotel In Your Area
*
An address is also helpful, especially if we're handling travel arrangements.
In the event of flight delays or cancelations.
Emergency Contact Name
First Name
Last Name
Emergency Contact Cell Phone
Please enter a valid phone number.
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Financial Questions
Please know, nothing listed here is a requirement or meant to show a preference. This information just helps us be prepare our budget for this and other trips. Please provide the following information to the best of your ability. - All finances should be paid to Jason Mayfield Ministries, INC
We're Providing
*
We Need Jason to Come For Free (we do this!! It's no problem!)
An Honorarium (flat payment)
A Love Offering
We will allow Jason to take his own offerings
Travel Expenses
*
Jason Mayfield Ministries needs to pay for all travel expenses
Jason Mayfield Ministries is handling travel arrangements, but we'd like to reimburse the expenses
We're handling travel arangements and we're paying for them
Other
If You Are Providing An Honorarium, What Amount Is To Be Expected?
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Media Arrangements
Capturing content (photos, video, audio) at events is how we keep our ministry partners informed and how we minister through digital broadcast.
Do you record video of the preaching?
*
Yes - and we can get you those recordings.
Yes - but it's probably not good enough.
No - but we do record audio.
No - we record nothing.
Will you be providing a professional photographer?
*
Yes
No - Jason Mayfield Ministries will need to arrange that.
Will you be providing a professional videographer (for b-roll)?
*
Yes
No - Jason Mayfield Ministries will need to arrange that.
Jason "vlogs" his trips. We want to make you aware that he will have a camera with him for the majority of the trip. Typically he will feature your church, ministry people and the pastor in his vlogs. (Youtube Casey Neistat to see a vlog example)
*
I understand and agree.
During services, Jason Mayfield Ministries also uses an "audio recording" system that works independently of the church sound system.
*
I understand and agree.
During services, Jason Mayfield Ministries will set up a Resource Table in the foyer to distribute free and paid resources.
*
I understand and agree.
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