TSM Request Form
Today's Date
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested Ministry Dates
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Name of Church/Ministry
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Pastor/Ministry Leader
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this the address where the meeting/event will be held?
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Yes
No
Contact Person for this Request
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First Name
Last Name
Contact Person Office Number
*
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Area Code
Phone Number
Contact Person Cell Number
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Area Code
Phone Number
Contact Email
*
example@example.com
Please tell us the title of this event
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Please list the type of audience he will be speaking to
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Example: Pastors, Youth, Adults, etc.
How many times would you like for Apostle Tim to speak at this event? If possible, please specify the session dates and times.
*
Event/Church/Ministry Website
*
Anticipated number of attendees
*
Will there be an opportunity for TSM to ship product to be sold at this event?
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Yes
No
What is your vision for this meeting/conference?
*
Submit
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