Pastor James Merritt
To make a speaking request to Pastor Merritt's office, please complete the online form below. Please provide as much information as possible about your group, occasion or event. You will receive an error message if you leave out a field marked "*", which is required. Pastor Merritt's staff will respond promptly to your request.

Name of Church/Organization*
Name of Contact Person*
Mailing Address*
City and State*
Zip Code*
Phone*
Fax Number
Email Address*
Assistant's Name (If Applicable)
Assistant's Contact Information (If Applicable)
Event Date*
Event Location and Address*
Event Purpose and Makeup of Attendees*
Event Schedule and Duration of Speaking Times (Plenary Session?)*
Speaking Topic*
Are There Other Speakers?*		Yes No
If Yes, Who Are the Other Speakers?*
Estimated Number of Attendees*
Attire*
Typical Budgeted Honorarium for This Event*
Nearest Airport
Distance to Speaking Venue from Airport
Pastor Merritt Occasionally Travels with a Staff or Family Member. Would Airfare for One Additional Poerson Fit Into Your Event Budget?		Yes No Maybe