The Worship Center Christian Church

MEMBER LOGIN

In order to fully experience this page you need Flash Player 8+ support!

It's FREE

If you would like to have Pastor Van speak at your engagement, please fill out our Speaker Request form below. If you have any questions, please contact Tameca Moss at either or 205-451-1750 Ext. 223.

Complete the form here:

Speaking Engagement Questionnaire

CONTACT INFORMATION:

Your Name:

Title:

Daytime Phone:

Evening Phone:

Email Address:

What is your role in planning the event?

Pastor

Event Planner

Ministry

Other

GENERAL INFORMATION

Name and phone number of attendant to greet Pastor Moody at the Airport:

Please make sure that the attendant brings: *hotel room keys *pertinent event information

Name of Hotel:

Hotel Phone Number:

Hotel Fax Number:

Hotel Address:

Does hotel have a Business Center?

Yes

No

Is Internet access available in-room?

Yes

No

Pick-up times:

Estimated arrival time from Airport to Hotel:

Estimated arrival time from Hotel to Venue:

Airport nearest venue location:

Anticipated weather conditions:

Will there be a private place at the venue (ie. Green room, dressing room, etc.) available for Pastor Moody? Please specify:

EVENT INFORMATION

Date/Time of Event:

Name of Event:

Name of Pastor and Spouse (if applicable):

Host Ministry/Name of Church:

Website Address:

Physical Address:

Phone Number:

Fax Number:

Event Theme:

Event Scripture Reference:

Anticipated Attendance:

Attire:

Event City/State:

Event Venue:

Estimated Speaking Time Allowed:

Length of service/event:

Other speakers (if any):

Have at least two (2) volunteers been assigned to sell Pastor Moody's products?

Yes

No

If so, please provide their names and phone numbers:

Complete the form here:

POLICIES: