Speaker Request FormVincent & Felicia Campbell Ministry RequestName of the Person completing this form:First Name Last Name Email Mobile Phone Work Phone Who is this request for? Pastor Vincent Campbell Lady Felicia Campbell Both Vincent and Lady Felicia CampbellMINISTRY OR ORGANIZATION INFORMATIONChurch/Ministry/Organization Name Church/Ministry/Organization Address If church or ministry, what is the Pastor's name? EVENT COORDINATOR INFORMATIONEvent(s) Contact Person Contact Phone Ministry Position or Organization Role E-mail Address EVENT INFORMATIONWhat type of event? Conference Convention Convocation Church Service OtherIf "other", what type of event is the request for? Event Location Event Dates and time Event Purpose & Goal(s) Event Theme and/or Scripture(s) This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.Submit Form
