Guest Speaker Worksheet Guest Speaker Worksheet Step 1 of 6 - Speaker/Ministry Information 16% Guest Name* First Last Information about your ministry.Ministry Name*Ministry Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Mailing address is same as street address? Yes No Ministry Street Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Ministry WebsiteMinistry Email Address* Ministry Phone Number*Assistant or Contact Person InformationName* First Last Email* Phone*We'd love to have a picture of you that we can use for any media.Please attach a high-resolution image at 300 dpi or higher. Date Ministering at The City Church* MM DD YYYY Time of Service* : HH MM AM PM How early would you like to be at the service?*15 min.30 min.45 min.60 min.Preferred Water On Stage*Bottled, chilledBottled, room tempNo WaterSpeaking Specifics*30" Flat Table45" Flat Table (Standard)PodiumOtherPlease fill out "Other" here Please upload a Signed W-9 Form as a PDF.*Will your ministry be selling your products, or would you like The City Church to handle sales? (Please see details below) Our Ministry The City Church The City Church will provide: -Tables and black tablecloths for merchandise display and sales (please send us the number of tables you need 2 weeks prior to the event). You will be responsible to provide: -Credit Card Machines (no phone line, only wifi machines please) -Banks for cash transactions -Merchandise & shipping to and from the event -Individuals to sell merchandiseThe City Church will provide: -Tables and black tablecloths for merchandise display and sales -Individuals to sell merchandise -Credit card machines and banks for cash transactions *Please Note that 20% will be taken from final sales to cover an credit card transaction fees. You will be responsible to provide two weeks prior to the event: -Merchandise shipped to our offices no later than one week before the start of the event. The City Church, Attn. Retail Sales Manager, 9051 132nd Ave NE, Kirkland, WA 98033 -Return shipping labels for any remaining merchandise -An inventory list with products, ISBN numbers and price list -Any detailed directions for table setupName First Last Email Phone Will you be bringing any audio/visual equipment with you?* Yes No Please listDo you have any special audio needs or other special equipment needs?* Yes No Please listWill you need Video Projection?* Yes No Please give details:Microphone Preference* Wireless Hand-held (Standard) Wireless Lapel Wireless Headset Would you like any graphics, pictures, or PowerPoints?* Yes No Are you providing these graphics, pictures, or PowerPoints?* Yes No Please upload a PowerPoint slideshow with the content you would like on slides in plain white text. We will format the slides for our screens.Any video playback?* Yes No We book king, non-smoking rooms unless otherwise specified. Please list any hotel room preferences below. We will do our best to honor your preferences whenever hotel availabiliity allows. Hotel Bed Preferences 1 King 2 Beds Required Adjoining Rooms Other Please describe other: Will you be making your own travel arrangements?* Yes No Please provide date of birth and name exactly as it appears on the form of ID you'll be using to check into your flight.Arriving by:* Commercial Flight Private Aircraft Car If you are traveling by air and are making your own arrangements, we ask that you secure the tickets as early as possible to get the best rate. We recommend you fly into Seattle-Tacoma International Airport (SEA), which is 25 minutes from The City Church. NOTE: Please submit travel itinerary one month prior to scheduled date to Carla Haskins at carla.haskins@thecity.org.The City Church is planning on providing transportation for you and any travel companions.Will you need someone to pick you up from the airport?* Yes No Please give us the best phone number for a host to reach you.Name First Last Relationship to you:Name First Last Relationship to you:Name First Last Relationship to you:Name First Last Relationship to you:The City Church intends to make audio and video recordings, take photos, and otherwise document your time at the church, including while you speak. By agreeing to speak at The City Church, you give the church the full right and permission to use your name, voice, photograph, and likeness and any recordings, photos, or other media in any manner and for any purpose deemed by the church to be appropriate for its ministry purposes. The church will have full ownership rights in any videos, photos, or other media that use your name, voice, photograph, or likeness, including but not limited to (1) copyright them in the Church's name or in the name of any other person; and (2) publish and use them in whole or in part, in any manner and for any purpose deemed appropriate by the church for its ministry purposes.