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Crosstown Ministries

Itinerary Form

1206 W. 5th Okmulgee, OK. 74447

Phone: (918) 756-2442 Fax: (918) 756-2445

wberry@crosstownphc.org

Dear Church or Ministry Host:

    Please print here, complete and return by fax or submit the online form with the following information regarding Pastor Wesley Berry's upcoming ministry engagement with you. We appreciate your timely cooperation in this matter.

Ministry Schedule

* Required











Mail Out
Newspaper
Radio
TV
Other

Yes
No

 

Accommodations

A non-smoking king room with a restaurant on premises and room service is preferred.






 An assistant will be accompanying Pastor Wesley Berry, please secure one additional room for them.



Offering and Travel Expenses


Yes
No

Yes
No


(Please Note)

**It is preferred that a separate check be made for CD/DVD sales, travel expenses, and honorarium. Make checks out to Crosstown Ministries. Please have all checks available for Pastor Wesley Berry at their departure.**

Pastor/Host Information



 Pastor/Host Residence Telephone Number (in case of emergency):



Ministry Resources


Yes
No

Yes
No

Yes
No

Yes
No

Yes
No

**We request that a copy of Pastor Wesley Berry's ministry CD/DVD's be sent to our offices in care of Dawn Wallace immediately following the meeting(s)/conference. Thank you!**

Please mail to: Crosstown Ministries 1206 W. 5th Okmulgee, OK. 74447

Transportation


Yes
No


Luggage pick up
Curb side
Other




Meeting Facilities

Host Church/Organization Information