Host Pastor

Church / Organization

Church / Organization Address

Website

Contact's Name

Contact's Email

Contact's Phone

Date of Event

Expected Attendance

Venue Address, City and State

Dress Attire: Dress Attire:---Dress UpDress DownCasualCome As You Are

Service Time

Speaker's Start Time

Event Type: Event Type:---Convention/ConferenceSeminar/WorkshopLeadership DevelopmentChurch Anniversary or ServiceOther (Not Listed)

Event Type (Please explain if Other):

Event Theme: Event Theme:---I would like to Plan A VisitI would like to be BaptizedI would like to Join R.O.S.M.B.C.I would like to Donate to R.O.S.M.B.C.Request PrayerOther (Not Listed)

Question or Comment (Optional)