Inquiry Form

Thank you for your interest in partnership with the Martin Center for Integration!

We’re looking forward to ministering with you and serving you in any way that we’re able. Please fill out the form below to begin the conversation with us.

Name

First Name

Last Name

Phone Number

(###)

###

####

Organization

Date of Event

If you have multiple potential dates, please make note of that in the notes below

YYYY

Time of Event

To elaborate on the time of the event, please use the notes below

Hour

Minute

Second

Event Location

Type of Event

What type of event are you interested in? What is the theme/topic?

Audience

What is the age group of the audience? How many do you anticipate attending? Is there other audience background we should be aware of?

What are the goals or objectives of a partnership with the MCI?

What have you observed in your organization or community that you hope to address through partnership with the MCI?

What other thoughts, questions, or concerns do you have about the MCI presenting to your group?

How did you hear about the MCI?