Chaplaincy Services - Box 361 - Hazel Park, MI 48030 - Telephone 248-520-1522


Pulpit Supply Form


CHURCH SUPPLY INFORMATION SHEET
CHURCH(es) _ ____________________________________________________
Address _ _________________________________________________________
City/State/Zip_ _____________________________________________________
Telephone_________________________________________________________
Fax______________________________________________________________
Email/ Web Site Address _ ___________________________________________

CONTACT PERSON(s):

Name(s) ______________________________________________________________
Telephone __________________________________________________________
Address ___________________________________________________________
City/State/Zip _ _____________________________________________________
Email Address _______________________________________
INFORMATION NEEDED BY: _ ______
Sermon title? yes ___ no Call to Worship? yes ____no
Scriptures? yes ___ no Children's Sermon? yes ____no
Confession of sins? yes ____no Hymns? yes ____no how many?
Any other pertinent information?
_ ____________ ______________________________________________________
_ ____________ ______________________________________________________
TIME OF SERVICE(S): __________________________
HYMN BOOK USED? _ __________________________
DISTANCE: ____________________________
TRAVEL TIME: ___________________


DIRECTIONS TO THE CHURCH(es):




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