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Meeting or Personal Ministry Request
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Meeting or Personal Ministry Request
Meeting or Personal Ministry Request
If you would like to have a session with Dr. Gary Kirkwood please fill out the form below.
PLEASE NOTE MOST SESSIONS LAST ONLY 1 HOUR
Contact Name(required)
*
Title
Contact Phone(required)
*
Contact Email(required)
*
Name of organization (If Applicable)
Brief Description of Your Organization
Session Details
Day, Date & Time of your request?
Location Request (If other than my location)
Address
*
City
*
State
*
Zip
*
Proposed Role(required)
*
Select Service
Pastoral
Other
Topic of Discussion (required)
*
Select from Options
Family
Marriage
Ministry
Business
Other
Key Participants(required)
*
Select from Options
Spouse
Family Member
Minister
Other
Will this session include or require refreshments?
Yes
No
How did you hear about Gary Kirkwood?
Please provide the purpose of this request.
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