Mission Event/Speaker Scheduling Form

To request a specific event or speaker for your missions event, please fill out the following form completely and click the Submit button at the bottom of the page. We will do our best to reply to your request in a timely manner.

If you have any questions or comments about this process, please contact Lonette Godwin at lgodwin@namb.net.

Name of Organization 
Address
Your Name (on one line) 
Your Title 
Ministry Assistant Name 
Requested Dates 
Email Address 
Work Phone 
Mobile Phone 
Fax 

Type of Event

Church Event: General Missions Event
 A18C (1-Day) Rally
 A18C (multi-day) Celebration
 A18C Seminar
Association Event: General Missions Event
 A18C (1-Day) Rally
 A18C (multi-day) Celebration
 A18C Conference
 On Mission Celebration
State Event: General Missions Event
 A18C (1-Day) Rally
 A18C (multi-day) Celebration
 A18C Conference
 A18C Seminar
Event Date(s) 
Event Location (address)

Missionary Request

 Association Missionary/Speaker
 State Missionary/Speaker
 NAMB Missionary/Speaker
 IMB Missionary/Speaker
 I will enlist my own missionary(s)
Speaker(s) Responsibilities

Special Missionary Requests

Name/Agency 
State/Country 
Gender 
Language 
Other
Other Special Requests or Notes