Guest Speaker Intake Form — SERVECITY CHURCH - Serving God | Serving All

SERVECITY GUEST SPEAKER INTAKE FORM

Name

First Name

Last Name

Phone

(###)

###

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Assistant's Name

Assistant's Email

Church or Ministry Name:

Honorarium Payable To:

Social Insurance Number (For Canadians Only)

This is needed for us to issue you a T4-A (Tax Form). If you are not comfortable submitting this via a form, feel free to email it directly to our Bookkeeper, at finance@servecitychurch.com

Home Address

This is also needed for us to issue you a T4-A Tax Form (Both For Canadians & Americans)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If married, what is your spouse's name?

Favourite Snacks & Drinks

Coffee Order

Dietary Restriction or Preferences

Will Anyone Be Travelling With You?

If yes, please list their name(s) here:

Beverages Desired While Speaking:

Shirt Size

Shoe Size

Anything that you’d like us to know in order to serve you better?:

Instagram Handle

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