New Jerusalem Baptist Church
1415 Anthony Street
McKinney, Texas 75069
(972) 562-4124

Please complete the form below for all speaking request. Our staff will contact you when your submission has been received.

   *Required fields    
*Organization Information

*Organization Name:

Click here if the Organization is a church

Organization Address:

*Organization City:

*Organization State:

Organization Zip:

*Organization Email:

Organization Website

*Organization Primary Number:
use format 123-456-7890

Organization Fax Number:
use format 123-456-7890

 
 

*Contact Person Information

*Name:

*Email:

*Primary number:
use format 123-456-7890

Secondary number:
use format 123-456-7890

 
 

*Event Details

I am requesting: Pastor Myron BradfordMrs. Deborah BradfordBoth

Type of Request:
KeynotePresentationPanelOther

Speaking Duration:


Date of Event:

Event Start Time:

Event End Time:

Event Location:

Theme:

Please attach your letter, invitation or flyer for your event

The Event is for: YouthAdultsYouth & Adults

Expected Number of Attendance:


Can you cover the cost of an assistant/musician to accompany our speaker(s) at your event?
YesNo