Conference Request

If you would like to explore the possibility of bringing Christine to your group, please fill out as much of the form as you are able, click 'submit' and we will be back in touch with you.

Contact Information
Your Name
Title / Position
Email Address
Sponsoring church or organization
Address
City, State, Zip
Telephone
Cell phone or other number
Fax Number
Website Address
Event Information
Date(s) of event
Venue
Location
Address
City, State, Zip
Please Describe the vision behind your event. Who are you trying to reach? What do you hope to see God accomplish?

Briefly describe the history of this event.


Anticipated audience size (please be conservative)


What is your prayer strategy for this event?


How are you planning to promote this event?


How did you hear about our ministry?


How can we pray for you and your ministry?


Additional Questions or Comments: