WORKSHOP SEMINAR REQUEST

Massachusetts Baptist Multicultural Ministries
99 Church Street, Lowell MA 01852 (978)455-3340 I www.mbmm.org I mbmm@mbmm.org
WORKSHOP-SEMINAR REQUEST
Requester
Malling Address
City
State
Zip Code
Phone
Email
example@example.com
Workshop Title/Topic
Date

MonthDayYear
Date
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
In Person

YESNO
Virtual

YESNO
Event Location
City
State
Zip Code
Number of Participants
faclitator/Presenter Name
Maling Address
City
State
Zip Code
Phone
Email
example@example.com

Type a question

	Supply / Description	Quantity	Item Cost	Cost
1
2
3
4
5
6
7
8
9
10

TOTAL
Weaving God's Love Across Cultures
Should be Empty: