Speaking Engagement Request Form

To request Pastor Akinbinu for a speaking/preaching event, please complete the following form.  Note that this form is only a request and not confirmation of his acceptance.  You will receive an email or telephone call regarding the status of your request within one week of the date of submission.  Thank you in advance for your invitation.

Church Information

Pastor/Host name*
Church name*
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Church phone number*
Church Fax number*
Church website

Contact Information

If conference /workshop, what subjected should he address (Chrch growth, Prayer)?*
Email*
Requested date of ministry event*
Event start time*
Rev. Akinbinu is being asked to: *
How long does he have for his portion of the event?*
Type of event *
Please List Names of Event (i.e. Pastor's Anniversary, Leadership Conference)*
Event Scripture
Event Location*
Event Address*
Are you requesting a choir to accompany Rev. Akinbinu?*
Please list participating speakers including their ministry dates and times:

Ministry/Event Informtion

Ministry/Event Information