Name_________________________________________________________________________________

Address ______________________________________________________________________________

Web-site address_______________________________ e-mail___________________________________

Home phone _______________ e-mail_________________ cell phone (if desired)___________________

Booking info:

Phone___________________________

Requirements for Revivals or services such as:

Sleeping arrangements?

How many will be with you?

Any other info that is necessary.

How long in the ministry? _____________

What is your vision as an evangelist?

Upcoming Revivals/ Services for 2003

Please include any information you feel might be of interest.