Bill Johnson Ministries - Ministry of Bill Johnson, Senior Leader of Bethel Church, Redding, California

Please use this form to request ministry by Bill Johnson.

Organization

Organization Name
Senior Leadership
Website
Address
Address Line 2
City
Country
State/Province
Zip/Postcode
Phone
Fax
Closest Airport
How did you hear about us?	(ex. book, Leaders Advance, conference, other leader/ministry)

Contact Person

Contact Person Name
Title/Position	(ex: "Personal Assistant")
E-Mail Address
Phone Number
Phone Number 2

Requested Dates

Below you may select up to 3 possible dates.

NOTE: Bill's 2010 itinerary is full.
Requests for 2010 will not be considered. Thank you for understanding.

Requested Date (1)

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Numbers of Days Requested

If a weekend is not available, would you consider mid-week? Yes

Notes about requested dates:

Event Details

Event Description
Number of Congregations Involved
Expected Number of Attendees
Other Speakers	Yes No Names:
Will someone be able to help run our product table?	Yes No

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