Pastor Sam Request Form

SAM SEGUNDO MINISTRIES
MEETING REQUEST FORM
Thank you for your interest in having Pastor Samuel Segundo speak at your church or event. This form is used to determine if a meeting can be confirmed. After we review this form, we will promptly inform you concerning your request.
GENERAL INFORMATION
Church Name*
Church Website
Church Phone*
Fax Number
Church Office Hours
CONTACT INFORMATION
Pastor's Name*
Spouse
Cell Phone*
Contact Person*
Title/Position*
Cell Phone*
E mail Address*
example@example.com
ABOUT THE REQUESTED MEETING
Date(s) of Meeting*

MonthDayYear
Date
Time(s) of Meeting
Street Address of Meeting*
Type of Meeting*

Weekly Church MeetingChurch ConferenceSpecial Occasion
What is the dress code for the meeting*

Dressy (Suit)BusinessCasualJeans
Anything else that you would like to share about the requested meetings?
HONORARIUM:

Pastor Sam Segundo and Sam Segundo Ministries does not set a specific amount related to his honorarium. We believe that God will direct you as how to honor the ministry gift of Pastor Sam. Honorarium must be payable to Sam Segundo Ministries or SSM and given personally to Pastor Sam upon his arrival, as he would like to bless the honorarium.

In addition to the Honorarium, the organization/church is responsible for:
- All travel expenses must be covered by host. We will notify you if Pastor Sam will be driving or flying.
- Airfare for 2 persons (1 for Pastor Sam (Economy) and 1 for his wife or assistant (Economy).We will notify you if Pastor Sam decides to travel alone.
- Two Hotel Rooms- (1 for Pastor Sam and 1 for Assistant). Pastor Sam does prefer to stay in a Marriott Chain hotel (Springhill Suites, Courtyard Marriott, Fairfield Inn & Residence, etc). We will notify you if Pastor Sam decides to travel alone. Examples of other hotels include: Marriott, Sheraton, Hilton, Embassy Suites
MEDIA KIT:

Once approved, Pastor Sam's team will send promotional pictures, bio, and video bio. Pastor Sam does recommend that his video bio, be presented right before he takes the stage. If not able to show video, please introduce Pastor Sam by reading his bio. If you have any questions or concerns about any of the material sent, please email familyfaithmedia@gmail.com.

If there are any details that have not been covered by this Meeting Request Form that you would like us to be aware of, please don't hesitate to contact us.

Sam Segundo Ministries I 810 E. 11th Place I Big Spring, TX 79720 I Phone: 432-267-6001

Contact Person: Michelle Cervantes (sandcpartner@gmail.com)
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SAM SEGUNDO MINISTRIES

MEETING REQUEST FORM

GENERAL INFORMATION

CONTACT INFORMATION

ABOUT THE REQUESTED MEETING