Life Church Of God In Christ: Champions of Life! Dr. Ron M. Gibson
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Booking Request Form

Pastor Gibson thanks you for your invitation to share in ministry. Please complete this form to request Pastor Gibson for your event. This form is a request for information only and should not be considered a confirmation. Be sure to click the SUBMIT BUTTON, and we will contact you shortly.  Please allow 2 to 3 weeks for a reply.

If you would like a printer friendly version of this form to fax to us instead of sending via the internet, Click Here. Our fax number is 951.684.8117. Please mark your fax, Attn: Cecelia Bennett.

Thank you.

* Required Fields.

Who would you like to book?
Date(s) Requested*
EVENT INFORMATION
Event Name*

Type of Event: (Choose one)
Conference Banquet Convention
Church Service Anniversary Holy Convocation Other
Event Theme:
Event Location*
Event Date(s)*
Event Time(s)*
Event Details
Suggested topic? Yes No
If yes, please describe
Are Product Sales Allowed? Yes No
Other Speakers
CONTACT INFORMATION
Contact Name*
Contact's Address
City
State
ZIP Code
Email Address
Contact Phone*
Contact Alt. Phone
Contact Fax
MINISTRY INFORMATION
Church or Ministry*
Pastor*
Ministry Address*
City*
State*
ZIP Code*
Phone*
Fax
Ministry Email
Office Hours:
Website Address (If Applicable)
 
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