Event Insert Request Form

Contact Information
Name*
Church/Organization Name*
Title
Mailing Address*
City*
State		Oklahoma
Zip/Postal Code*
Phone*
Best time to reach you
E-mail*
Additional Information
How did you hear about us?
Company's Website URL
Comments/Questions
Number of Bulletin Inserts
Number of 11 x 17 Posters
Number of 8½ x 11 Posters
How many times will you be handing out the bulletin inserts? (we recommend twice)
Would your church be interested in helping with Counselors for the invitation time?		Yes No
Will you be sending this information via e-mail to your members?		Yes No
Will you be posting this information on your website?		Yes No
Will you like more information on how you can financially help us bring Sermon on the 'Mount' to Oklahoma City?		Yes No