Your Name:
Title:
Name of Church/Organization:
Address:
City:
State:
Zip:
Is this where the event will be held?
-Select One-
Yes
No
If no, give the location of the event.
Seating Capacity:
Phone:
Fax:
Email:
Website:
In order to schedule an
event, we also need the following information:
What type of event are you interested in scheduling?
-Select One-
Saturday 9 am - 3 pm
Sunday after morning services
Topics of Interest for Event:
-Select One-
9 Things
Boundaries
Buttons
Changes That Heal
God Will Make A Way
Hiding From Love
How People Grow
How to Get a Date Worth Keeping
Making Small Groups Work
Rescue Your Love Life
Ultimate Living
Leadership Topic
OTHER
Dates you are interested in for scheduling your event:
CloudTownsend seminars require a minimum audience of 500 people. How many do you expect to have?
-Select One-
< 500
600
700
800
900
1,000
1,100
1,200
1,300
1,400
1,500
1,600
1,700
1,800
1,900
2,000
2,100
2,200
2,300
2,400
2,500
> 2,500
Is New Life Live radio program on
the air in your city?
-Select One-
Yes
No
If yes, what station?
Are there other ministries or groups
in the city that you feel would be interested in partnering
with you to promote the event?
-Select One-
Yes
No
What is the nearest major airport to the event?
How far is the drive from the airport to the event?
-Select One-
0-10 miles
10-20 miles
20-30 miles
30-40 miles
40-50 miles
50-60 miles
60-70 miles
70-80 miles
80-90 miles
90-100 miles
over 100 miles
Thank
you for your interest in bringing
