SELAH MINISTRIES LEADERSHIP TEAM
MINISTRY REQUEST FORM
 
Please fill out this form completely and return to Selah Ministries for review by the Ministry Trip Committee.
PO Box 2875, Hendersonville, TN 37077 or Fax: 615-826-8206
 
YOUR INFORMATION:
 
  
Name of Church or Ministry Denomination/Ministry Association
 
 
Address City State Zip  Country
 
   
Leader/Title Administrative Contact Person
 
     
Phone #   Fax #   Email Address



 
  
  
  
  
 
 
  
  
  
   
    
    
    Dates Requested
    (You may include several options in order of preference.)
     
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    Specific Minister, Team or Team Member Requested:
    q Ray Hughes
    q Ray Hughes and Worship Team
    q Worship Team
    q Other Team Member 
      
    
    
   
  
   
 


 
 
 

 
 
 
 
 
 
 
 
  
Title and/or Nature of Event 
 
 
Other Confirmed Leaders/Speakers for this meeting if any.
 
  
Other non-confirmed Leaders/Speakers invited to this meeting if any.
 
Expected Attendance: #   Congregations Involved: # 
 
On another sheet of paper please include the following:
 Give a brief summary of the vision of your ministry. 
 Give a brief statement of your vision for these meetings
 
 
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Signature Date Submitted