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Conference & Speaking Request Form

If you want to partner with Encounter Ministries to host an event, please use this form to make your request.

If you are human, leave this field blank.

Contact Name *

Person filling out the form

Organization or Group

Title or Position

Email *

Phone Number

What event would you like to partner with Encounter Ministries? *

If other, please explain.

Name of requested speaker. *

Does your budget make room for business class or first class airfare? *

Estimated speaker stipend. *

Please let us know what your budget is for speaking stipend or honorarium.

Event Location *

Estimated attendance *

Estimated capacity

Names of local ministries or Churches involved.

Requested Dates *

What are your goals for this event? *

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Encounter Ministries
135 Becker
Brighton, MI 48116