Communications Request Form

Ministry Name

Ministry Leader

Contact Phone

Contact Email

Event Details (Date, Start Time, & Event Location)

Estimated Number of Participants

Where Will The Event Take Place Where Will The Event Take Place On-Site Off-Site

Target Population

Benefits Or Expected Outcomes

Will Online Registration Be Required Will Online Registration Be Required Yes No

Do you require payments to be collected using securegive Do you require payments to be collected using securegive Yes No

Additional Details