Pastor Dr. Norman Hutchins thanks you for your invitation to share in ministry. Please complete this form and click the submit request button. This form is a request for information only and should not be considered a confirmation. The Office of Pastor Dr. Norman Hutchins will review your request and reply in a timely manner.

CHURCH / ORGANIZATION INFORMATION:
Pastor / Host Name:
Church / Organization:
Church / Organization Length of Existence:
Address:
City:		State Zip
Telephone:
Fax:
Organization Email:
Organization Website:
Average Sunday Service Attendance:
Average Midweek Service Attendance:
MEETING INFORMATION:
Meeting Coordinator :
Coordinator's Telephone:
Coordinator's Email:
DAY / DATE of Event:
Type of Meeting: Please Select From Drop Down List Conference Revival Banquet Concert Convention Other (Please specify in space below)
Other:
Theme of Event:
Special Topic Request?		Yes (List Below) No
If Yes, please list:
Address of Event:
City of Event:
Expected Attendance :		Time of Service
Other Speakers or Artists Participating: (Please list their ministry and times)