Home
Plan A Visit
Our Team
Request Prayer
Get Involved
Media
Watch Live
Bethesda Church Podcast
Sermon Archive
Give
Contact
We Believe
Press enter to begin your search
No menu assigned!
Guest Speaker Form
Guest Speaker Form
Thank you so much for being a part of what God is doing at Bethesda Church. We are honored and excited to host you! In order to serve you better and avoid potential confusion, please fill out the following form. Should you have any questions, do not hesitate to contact me at josh@bethesdachurch.tv or (304) 992-1327!
Ministry/Personnel
Your Name
*
Address
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
Phone
*
Will there be anyone accompanying you?
*
If so, please enter their name below.
Yes
No
Name of travel companion
From date
*
To date
*
Email
*
Website
Travel Arrangements
Would you like us to book your flight? Or would you prefer to book your own and be reimbursed?
*
Yes, book my flight
No, I'll book my own flight
Do you have any special flight requirements? (extra leg room, window seat, aisle seat... etc.)
(Please note, the closest airport is Roanoke, VA (ROA) and is an hour and a half away from the church. We ask that flight arrives one day prior to the event if possible)
Travel Arrangements
If you have already secured your travel arrangements please enter the information here.
Arrival Information
Airline
Airport
Arrival Date
Arrival Time
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
HH
00
05
10
15
20
25
30
35
40
45
50
55
MM
Flight Number
Departure Information
Airline
Airport
Departure Date
Departure Time
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
HH
00
05
10
15
20
25
30
35
40
45
50
55
MM
Flight Number
Arrangements
How many hotel rooms will you need?
King or Double
King
Double
Will you need any special accommodations for your hotel room? (ex. first floor access)
Media
Please provide the following media for promotional purposes.
Please provide us a link where we can access the needed media. i.e. (Dropbox, One Drive, URL, YouTube, Vimeo)
Links to media (please separate URLs with a space or semicolon)
When speaking, do you prefer... ?
Handheld microphone
Headset
Either is fine
Do you plan on showing any video footage during your speaking engagement?
(All video submissions are subject to approval)
Yes
No
In what format should we expect the footage?
mov
mp4
wmv
avi
flv
Will you have notes for the overhead screen?
Yes
No
What format will you have your notes in?
Microsoft Word
Microsoft PowerPoint
Apple Pages
Adobe PDF
What is your Instagram and/or Twitter handle?
Resources
Will you be bringing resources?
Yes
No
Are you shipping merchandise ahead or bringing it with you?
Shipping merchandise to Bethesda Church
Bringing merchandise with me
Types of product and quantities
Books
CDs
DVDs
Shirts
Other product
Other product quantity
How many boxes will you be shipping?
Expected delivery of boxes
Will you need a volunteer to set up or work your table?
Yes
No
+ Please provide an accurate inventory and price list with all shipments. +
+ Please give specific instructions regarding resources that need to be returned to you. +
Instructions for resources
Please ship all product to:
Bethesda Church
232 Bob White Ln
White Sulphur Springs, WV 24986
Green Room
Preferred drinks
Preferred snacks
Do you have any allergies we should be aware of?
Yes
No
Allergies
Travel Reimbursement
Make check payable to:
Mail to address:
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
Signed Agreement
Instructions
Again, we are honored to host you. Here are a few cultural and practical agreements to please be aware of as you prepare to minister at Bethesda Church:
1. We ask that you arrive to the church or event location at least forty-five minutes prior to the event/service so that you can meet with our pastoral team for prayer and have a sound check. We will have someone waiting to greet you and show you where to go. Your host name and number will be sent to you two weeks prior to the event.
2. Someone from our tech staff will send you an Order of Service the week of the event so that you can be prepared and have an idea of how the service will go. We will also have a member of our tech team cue you the day of the event. We ask that you be familiar with the amount of time you have and what comes prior and after your portion of the event.
3. Please keep in mind that West Virginia is a very conservative community. Many slang words spoken in other parts of the country may be considered curse words here. Most of our events are open to ages ten and up. Therefore, please keep sermon/spoken content age appropriate (use vague terms for addressing sexual issues). We also ask that you refrain from using any stereotypes or jokes that may be considered demeaning towards West Virginians.
4. We ask that you honor your contract dates and times, unless there is an emergency. Should an emergency prevent you from fulfilling our agreement, please contact us as soon as possible so that we can adequately cover all areas.
We are so grateful for your partnership in sharing the Gospel of Jesus to our community. Our teams are covering you in prayer and ready to assist you in any way possible.
This agreement is entered into by the undersigned in a spirit of Christian brotherhood and for the purpose of establishing good communication and mutual understanding regarding your visit.
Your name
*
Agreement
*
By checking this box, you hereby agree to the terms listed above.
Yes, I agree
Today's date
*
Verification
Please enter any two digits
*
Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:
Home
Plan A Visit
Our Team
Request Prayer
Get Involved
Media
Watch Live
Bethesda Church Podcast
Sermon Archive
Give
Contact
We Believe