Pastor Samuel J. Casey's Ministry Speaking Engagement Request Form

Thank you for your interest in having Pastor Samuel J. Casey to be involved in your gathering. Our Pastor loves preaching God’s Word, considers it an honor to partner with other followers of Christ in proclaiming the gospel, and does not take such requests lightly.

At the same time, his primary responsibilities are to love his family well and to lead in our church, his professional commitments and work wisely. These responsibilities to family, church, work, etc., often limit his ability to travel for other speaking engagements and therefore he may not be able accept all of the invitations he receives. He prayerfully considers each request and is honored for your consideration.

Note: In order to protect his ministry and provide time for mentoring, Pastor Samuel J. Casey always travels with someone (either his wife or someone else). Therefore, travel accommodations would need to be provided for someone to come with him when the engagement is outside of a 60 mile radius of his home.

Thank you for your gracious understanding of all of the above. If you would like to submit an invitation, please complete the form below as thoroughly, and as specifically, as possible. Your invitation will be reviewed, and we will contact you within a week of submitting your request.

Regardless of whether or not Pastor Casey is able to participate, we pray that God will bless your gathering for the proclamation of His Word and the exaltation of His glory.

Event Name*

Event Date*

Date

Event Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Number of times Pastor is needed to speak at the event*

Event Purpose*

Amount of Time Given To Speak*

Event Theme/Topic (Specific scripture)*

Name of Requester*

First NameLast Name

Organization/Company*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Expected Audience Size*

Prospective Audience*

Speaker Session Format*

Keynote/SermonPanel discussionWorkshopOther

Duration of Session*

Hour Minutes

Is there an honorarium/speaker fee provided? If so please list it below.*

Equipment (What type of AV equipment will be provided? Microphone type, streaming, casting, etc.)*

Distance From Airport? (If outside of Southern California)

Nearest Airport (If Applicable)

Expenses covered for speaker

Church/Organization Name*

Church/Organization Website*

Church/Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Church/Organization Phone*

Please enter a valid phone number.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email

example@example.com

Other Requests or Comments

Upon review and acceptance of the Speaking Engagement, a member of Pastor Sam Casey's team will reach out to you to complete confrmation and contractual agreement.

Pastor Samuel J. Casey's Ministry Speaking Engagement Request Form

Speaking Information

Contact Information

Event Audience

Logistics

Additional Information

Church/Organization Information

Primary Contact Information