Organization

Organization Name
Senior Leadership
Website
Address
Address Line 2
City
Country
State/Province
Zip/Postcode
Phone
Fax
Closest Airport
How did you hear about us?
(ex. book, Leaders Advance, conference, other leader/ministry)

Prior to the event, we will ship Kris' product to the address given below.
This should be a physical address (not P.O. box) where UPS packages can be received.
Shipping Address

Leave blank if
same as above address

Please describe your connection with Bethel and/or its related ministries
(i.e. Global Legacy, Bill Johnson Ministries, Firestorms, etc.)
Connection

Contact Person

Contact Person Name
Title/Position (ex: "Personal Assistant")
E-Mail Address
Phone Number
Phone Number 2

Requested Dates

Below you may select up to 3 possible dates.

Requested Date (1)
    Add another date
Requested Date (2)
    Remove | Add another date
Requested Date (3)
    Remove
Numbers of Days Requested  

If a weekend is not available, would you consider mid-week?

Notes about requested dates:

Event Details

Event Description
Number of Congregations Involved  (enter "1" if hosting alone)
Expected Number of Attendees  (please be as specific as possible)
What is the capacity of the event facility?
Other Speakers
Yes   No
Names:

Kris' ministry team pays their own travel expenses.
Are host homes available for our ministry team to stay in if they accompany Pastor Kris?
Host Homes Available?
Yes   No
How many students can you accommodate?

Ministry

Below, please give a brief description of your ministry,
as well as what you feel Kris would contribute to your vision.