Event host/church name

Your position in the organisation

Host pastor (first & last name)

Event name and the vision/theme for the event?

Is there a scripture that the Lord has given you concerning this event?

Your email

Venue address

Phone number

Are there other ministers ministering? If yes, who are they?

Start date of event

End date of event

Description of event
In-person    Virtual    Other

Specify other (if applicable)

What are your expectations for Minister Adegboye Samson's participation in this event?
(Include details about how many sessions you want the team to minister at)

Will the event be private or open to the public?
private    public

Are there any other details you think we should know?

I understand that this Event Request Form will be used by Minister Adegboye Samson for the purpose of coordinating agendas. Submission of this form is only a request and DOES NOT CONFIRM his participation in said event.

The correct information is required to process this request. After review, an admin will contact you.

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