New Covenant Believers\' Church

Host Contact Information
Sponsor/Host of Event *
Host Pastor/ First Lady
Contact Person's Name * Title First Last Suffix
Host/Church Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Number * ### - ### - ####
Fax Number ### - ### - ####
Contact's Email Address *
Host/Church Website
Event Information
Speaker(s) you are requesting *
Bishop Tillman First Lady Tillman
Ministry Presentation Requested *
Worship Service/ Sermon Bible Study Workshop Lecture Series Panelist
Type of Event *
Conference Crusade Convention Television Other
If other, please indicate the type of event you are hosting.
Name of Event *
Event Theme (if applicable, please include Biblical text)
Date(s) of Event *
Speaker requested date(s) *
Is this event held annually?
Yes No
Estimated number anticipated to attend
Venue Information
Address (complete ONLY if the address is different than above)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Venue Phone Number ### - ### - ####
Special Note

Thank you for your request. Prior to submitting this form, please review it to confirm all fields are completed. If any required fields are not completed, the form will not be submitted. If all fields are complete, when you click submit, your request will be received and reviewed by a member of the NCBC staff, and you will be contacted regarding your request.
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