Speaker Request FormVincent & Felicia Campbell Ministry RequestName of the Person completing this form:First NameLast NameEmailMobile PhoneWork PhoneWho is this request for? Pastor Vincent Campbell Lady Felicia Campbell Both Vincent and Lady Felicia CampbellMINISTRY OR ORGANIZATION INFORMATIONChurch/Ministry/Organization NameChurch/Ministry/Organization AddressIf church or ministry, what is the Pastor's name?EVENT COORDINATOR INFORMATIONEvent(s) Contact PersonContact PhoneMinistry Position or Organization RoleE-mail AddressEVENT INFORMATIONWhat type of event? Conference Convention Convocation Church Service OtherIf "other", what type of event is the request for?Event LocationEvent Dates and timeEvent 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
