Naim Collins Ministries ©2014
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™
Prophetic Training/Seminar Request Form Naim Collins Ministries
Host Church/Ministry/Organization:______________________________________________
Host Name:_____________________________________
Host Title:_____________________________________
Contact Number:______________________________
Email Address:_______________________________
Date/Time of Event:__________________________
Name of Event:______________________________
Website Address:____________________________
Please select which speaking format you desire: Preaching:______ Teaching:________ Lecturing:________ Leadership:_______Prophetic Training:_______Coaching:__________
Personal Prophetic Ministry:__________Prophetic Activation:_________Other:__________
Naim Collins Ministries ©2014
2 | P a g e
Please select which subject or topic for speaker:
PropheticImpartation:_______PropheticTraining:_______PropheticTeams:______
Prophets/Prophetic:_________ Ordination Prophetic Presbytery:_______
PropheticIntercession:___________Prophecy:________PropheticEvangelism:_________
Other:______
Do you need prophetic training and activation? Yes_____No______
How many days are required for training/activation? ______
If Other, Please
Specify:_______________________________________________________________________
Expected Attendance:___________
How many books are required?____________
Do you have a speaker’s budget for this event? Yes________ No _________
Amount Budgeted for Speaker?_____________ or Honorarium Amount:_________________
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Signature of Host:___________________________________________________ Date:__________
Signature of Speaker:________________________________________________ Date:__________
Signature of Exe. Admin: ____________________________________________ Date:__________
