Guest Speaker Engagement Form

GUEST SPEAKER ENGAGEMENT FORM

The Open Door Church, 600 Miller Street, Chambersburg, PA 17201 Office 717-264-3266, ext 124
Please fill our all areas completely. If something does not apply please insert "NA".

We are looking forward to your visit with us and are praying for your safety in traveling and God's blessing upon you while you are with us.

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Today's Date

MonthDayYear
Date of Engagement

MonthDayYear
Guest Information
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Office Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
E-mail
Website
Involvement Time
Sunday School 9:15 a.m.
Sunday Morning 10:30 a.m.
Sunday Evening 6:30 p.m.
Wednesday 7:00 p.m.
Other Commitments
Total Number Traveling
Adults
Children
Groups
Number of Men
Number of Women
Couples in Group
Financial
Expenses
Love Gift
Honorarium
Check Payable To:
Special Needs

Please let us know your media needs
Display Table
Table Size Needed
Need Electric
Media
Length in minutes
Media Format
Will You Be Using Your Own Computer?
Is Your Computer/Pad
Sound/Media Date Check

MonthDayYear
Transportation
Driving
Total Miles
Flying
Airlines
Arrival Date

MonthDayYear
Arrival Time
Departure Date

MonthDayYear
Departure Time
Car Rental
Meal Date and Time

MonthDayYearHourMinutesAM/PM Option
Diet Restrictions
Lodging
Home
Motel
Name
Night(s) of
Confirmation #
RV Hookup
Please include a biographical sketch and a photo in a JPEG format
Should be Empty:

GUEST SPEAKER ENGAGEMENT FORM