Flight Arrangements (if applicable):
The Host Ministry is responsible for making flight arrangements, bookings and securing tickets for the speaker unless otherwise agreed.  Airline preference is American or Delta Airlines.  Please consult with Youth Alive Ministries before making final arrangements.

INFORMATION PROFILE
*Church/Organization:
*Contact Person:
*Address Line 1:
*Address Line 2:
*City:
*State/Prov:
*Zip:
*Country:
*Phone Number:
Alternate Number:
Fax Number:
*Email Address:
Time Zone:
*How did you hear about Dave BurrowsMinistries?

EVENT DETAILS
*Date of Event:
*Event Location:
*Theme:
*Is the event for …
(choose one)

Youth
*What date(s) and time(s) will you need Dave Burrows to speak?
*What is the speaker’s honorarium for this event?
*Can the church/organization cover the cost of an assistant or musician to accompany Dave Burrows at your event?

Yes

N o
ACCOMODATION
*Name of Hotel:
*Address Line 1:
*Address Line 2:
*City:
*State/Prov:
*Zip:
*Country:
*Phone Number:
Alternate Number:
Fax Number:
*Email Address:
Trans Arrangements :
   
EQUIPMENT
Does the host ministry possess the following equipment for speakers use:
Equipment:
RESOURCE MATERIALS

Speaker may bring the following materials:  
Books /Audio/video tapes / Brochures/flyers / Music CDs/Cassettes/DVD’s
Display area provided Yes

No
Sales Person provided Yes

No