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What We Believe
Our Leadership
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Prayer Request
Contact
Speaking Inquiries
Next Steps
Im New
Volunteer
Baptism
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Speaking Request Form
Pastors MARK and Rebekah are honored by your request. We kindly ask that you complete the form below!
Name
*
First Name
Last Name
Email
*
Which speaker(s) would you like to request?
*
Pastor Mark Cantu
Pastor Rebekah Cantu
Pastor Carol Cantu
Is this a digital or in-person request?
*
Zoom Request or Interview
Pre-Recorded Message
In-Person
Name of Church / Organization
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Church / Organization / Event Website
*
Senior Pastor or Organization Leader's Name
*
First Name
Last Name
Youth Pastor Name
First Name
Last Name
Event Contact Name
*
First Name
Last Name
Event Contact Email
*
Event Audience
*
Youth
Adults
Both
Event Contact Phone Number
*
(###)
###
####
Nature of Event or Request (i.e. Church Sunday Service, Leadership Teaching, Podcast, Conference, etc) & any details we should know
*
Title / Theme of Event
*
Exact Event Date(s) Requested to Minister
*
Speaking Time(s) Requested
*
Allotted Time to Minister
*
Expected Attendance
*
Other Invited Speakers / Artists
Budgeted Honorarium
*
Approval to Bring or Sell Product
*
Yes
No
Is travel required for this event request?
*
Yes
No
Nearest Airport
*
If not required please put N/A for Not Applicable
What is the distance from the airport to the event?
*
If not required please put N/A for Not Applicable
What is the time/distance from hotel to event?
*
If not required please put N/A for Not Applicable
How did you hear about us?
*
Thank you for submitting your request!
A member of our team will be in touch shortly!
