Ministry Request Form (Out-of-Town)
Please fill out this form completely. Incomplete information will delay processing. Form will not be submitted without required information. If items does not apply, please skip to the next item.
Please provide information regarding your ministry to that we can better serve you.
Please provide contact information
Please Provide details about the service
*Please provide details about the speakers honorarium to avoid any miscommunication or division as stated in
I Corinthian 1:10
Please provide information regarding the speaker's travel arrangement. Please note: If speaker is required to travel more by car 1.5 hours or more, speaker request that host ministry provide a rental car and gas allotment(negotiable). Depend on schedule and distance, airline ticket is required. Delta is the preferred airline (Account #2320977172).
*ALL TRAVEL (AIR/RENTAL) NEED TO BE BOOKED THROUGH DR. CANION PERSONAL BOOKING AGENT Richard Schutkin.
(Toll-Free) 1-800-776-7011, (Office) 414-769-4800
Please provide hotel information for the speaker
***Please ensure that the hotel room key is available upon Dr. Canion arrival to avoid having to stop at the front desk.***
Note: For Out of State Travel, Please provide the following.
*Personal Greeter (To greet Dr. Canion at the airport or upon arrival)