To learn more about scheduling Jim Wideman for your church or organization, please complete and submit the following form. A representative will contact you to answer any questions you may have!

*= required fields    
Host Church or Organization:
 
Address:
  
City:
  
State:
  
Zip:
  
Contact Person:
  *
Position:
  
Day Phone:
   *
Evening Phone:
  
E-mail Address:
  *
Pastor's Name:
 
Average Church Attendance:
 
   
Please check the service(s) that most interest you:
  Children's Ministry Conference
Event/Church Speaker
Time Management Seminar
Recruiting Seminar
Parenting Seminar
Live Leadership Club Lesson
Coaching
Other
If other, please specify:
On what date(s) are you interested in?
  
What is the nearest major airport?
 
With what national ministries does your organization most closely identify?
 
Additional comments:
 
     

Financial Information

   
     
What does your budget allow for the event?
   *
Would you be willing to cover the cost fo Jim and a traveling assistant of:
(Please check all that apply)
   Airfare
Rental Car
Hotel
Meals