Awake Nations
Booking Request Form
PO Box 378, Mount Hope ON L0R 1W0
www.awakenations.org
info@awakenations.org
Invitation Form for Glenn & Lynn Bleakney
Please complete as many details as possible.
Once your invitation has been received, Pastor Glenn and Lynn will prayerfully
consider your request and someone from our office will be in touch with you.
*
denote required fields
Invitation for
*
Pastor Glenn
Pastor Lynn
Both
CHURCH/MINISTRY INFORMATION
Office Hours
*
Church/Ministry/Event Name
*
Church Mailing Address
*
City/State/Zip
*
Church Physical Address
*
City/State/Zip
*
Phone Number
*
Fax Number
Email Address
*
Church Web Address
Denomination
Total # of Adults in Congregation
Sr. Pastor’s Name
*
Spouse Name
Church Contact Name/Title
Contact Person Phone Number
Contact Person Email Address
List times of regular weekly services
INVITATION INFORMATION
Dates you are requesting
*
Times of requested service(s)
*
Would you be open to a week-day?:
Yes
No
If yes, which day(s):
Mon
Tues
Wed
Thurs
Fri
Meeting Format:
Main Services
Retreat
Conference
Camp Meeting
Youth Service
Other
If Retreat, Conference or Camp meeting, will there be other speakers:
Yes
No
If Yes, list other speakers invited
Expected adult attendance
ADDITIONAL CHURCH INFORMATION
Nearest Commercial Airport to Venue
Drive time to meeting
What is the set honorarium for this invitation
*
Our church/ministry is prepared to cover travel expenses, accommodation and receive a love offering for this invitation
*
Yes
No
Should you have any questions, please contact us at
905-592-1688
or
813.433.1835
or
info@awakenations.org
.
You can also download and print the
PDF format
of this form
