Ministry Moment Request Form

Ministry Moment Request
Today's Date

Month Day Year
Date
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Ministry Name
Ministry Moment subject
Ministry Moment Description Summary
Will this be a video

Yes No
PLEASE NOTE:
All Videos submitted must be in .mp4 format and adhere to the length limitations policy. The length limitation is maximum 1 minute unless otherwise approved by the Pastor.
You can select up to 2 dates. (1st Preference & Alternative )Presentations must be 3 minutes or less. All are subject to Pastor's Approval.
1st Choice Date Reservation

Month Day Year
Date
2nd Choice Date Reservation

Month Day Year
Date