request
Bishop Samuel Duncan, Jr.
for a
ministry engagement

To invite Bishop Duncan to speak at your church service or event, please fill out the form below. Please contact Jurisdictional Secretary Marcia Black-Watson with questions at admin@sw3micogic.org.

Note: Submitting invitation does not guarantee his acceptance or appearance, until confirmation is received from jurisdictional staff.

First name*

Last name*

Organization/Church*

Phone*

Email*

Primary Event Contact Name

Individual responsible for coordinating Bishop Duncan's participation on the day of the event.

Primary Event Contact Cell Number

Website

Type of Event*

Bishop Duncan's Requested Role*

Guest Speaker

Workshop Presenter

Special Guest for Remarks

Ceremony Presider

Other

If you selected "other," please describe the type of event

Is Bishop Duncan being asked to travel with members of the Michigan Southwest Third Jurisdiction?

Will overnight accommodations be required?

Event Date*

Event Time*

Time

:HoursMinutes

Location*

Theme

Thematic Scripture

Explanation of Theme

Is this a ticketed event?*

Yes

Will registration be required?*

Yes

Will the event be audio recorded?*

Yes

Will the event be video recorded?*

Yes

Anticipated number in attendance*

Description of audience*

Time allotted for presentation*

Is a photo and biographical sketch required?*

Photo

Biographical Sketch

Any additional information

MICHIGAN SOUTHWEST THIRD ecclesiastical JURISDICTION
COGIC, INC.

(517) 882-2335
info@sw3micogic.org

5304 Wise Rd
Lansing, MI 48911

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Michigan Southwest Third Ecclesiastical Jurisdiction COGIC, Inc.

request Bishop Samuel Duncan, Jr. for a ministry engagement

request
Bishop Samuel Duncan, Jr.
for a
ministry engagement