This form is for those who would like to request a speaker from TFT to speak at a church or event. Note that this is a detailed form and may take 10-15 minutes to complete. By capturing as much information as possible at this stage, this helps us to respond most effectively when you submit the form. Where there is a * you must complete this part of the form. When you are finished, press the Submit button to send us your request, and a copy of the information entered will be emailed to your email address. About your message Are you a new contact? * - Select -This is the first time I've contacted TfTI have contacted TfT beforeI am a member of TfT Please indicate whether this is the first time you have contacted TFT Referred by Please indicate how you heard about TFT. Enter "Self" if you referred yourself Agreements Declaration * I consent to TFT storing my personal data in line with the Data Protection Act 1998. I would like a TfT staff member or voluntary worker to contact me, using the details given in this form. I understand that a copy of this form will be passed to the person who will be contacting me. Agree to Basis? * Yes No Is your church/organisation in agreement with our Basis? Agree to Code of Confidentiality? * Yes No Do you agree to be bound by our Code of Confidentiality? Your personal contact details Full name * Personal email * Phone number Type of phone LandlineMobileFaxPagerVoicemail Preferred communication method(s) Phone Email Post Text message Tick the method(s) by which would prefer us to contact you Privacy preferences Do not email Do not phone Do not send post Do not text message Tick any method(s) by which you would NOT want to be contacted Organisation contact detailsThis should be the proposed venue of the speaking event Name of church/organisation * Country * AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic Rep of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island & McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's RepKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaS Georgia & the S Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUS Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe This is selected first so that you get the right options for County below. Street address * Street address (cont) Town or city * County * Aberdeen, Bristol, Dundee, Edinburgh and Glasgow are listed as cities. London and Manchester are included in "Greater London" and "Greater Manchester". Postcode Church email Church phone number Church website Church denomination - None -AnglicanAssemblies of GodBaptistBrethrenCatholicIndependent EvangelicalMethodistNew FrontiersPentecostal (inc Elim)PresbyterianSalvation ArmyURCVineyardOtherChristian (non-denominational) Pick a denomination that most closely matches this church or organisation Meeting detailsDetails of the proposed meeting. Meeting day * Saturday Sunday Weekday On what day of the week should be meeting be held? Meeting start time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm At what time should the meeting begin? Preferred date Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201620172018201920202021 If you have a specific date in mind, please select it here. Alternative date(s) Title of meeting/talk Please leave blank if you are happy for the speaker to choose an appropriate title. Type of meeting * - Select -Bible collegeConferenceCU meetingDiscussion groupLectureMen's meetingSeminarSunday sermonWomens meetingWorkshopYouthgroup Type of congregation * - Select -Mostly ChristianMostly not ChristianMixed Issue(s) that you would like addressed * Required length of talk * We generally suggest a minimum of 30 minutes for a Sunday sermon or 90-120 minutes for a seminar Discussion time? * Yes No Would you like an open discussion time? Question time? * Yes No Would you like a time for questions and answers? Public meeting? * Yes No Is this a public meeting that you would be comfortable for us to promote to nearby TFT members to invite them to attend? Equipment available Projector PC/laptop Table for literature Please tick any equipment that would be available to the speaker Do you plan to record the talk? * Yes No We encourage caution before making our talks publicly available, for example on a website Any other comments or questions Confirmation of agreementsListed below for your information are the agreements you made earlier on the form. Date of consent to holding of personal data: Day Day12345678910111213141516171819202122232425262728293031 Month MonthMayJunJulAug Year Year2017 You have consented to TFT storing your personal data in line with the Data Protection Act 1998. Date of agreement to Basis: Day Day12345678910111213141516171819202122232425262728293031 Month MonthMayJunJulAug Year Year2017 You have agreed to our Basis. Date of agreement to Code of Confidentiality: Day Day12345678910111213141516171819202122232425262728293031 Month MonthMayJunJulAug Year Year2017 You have agreed to be bound by our Code of Confidentiality. CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.