SPEAKERS BUREAU REQUEST FORM

Fill out this form, and someone from The Salvation Army will contact you soon.

First Name:

Last Name:

Organization (if applicable):

Address:

City:

State:

Zip:

Daytime Phone:

Evening Phone:

E-mail:
Speaking Date:
Speaking Time:

Speaking Location:

I'm interested in Twin Cities volunteer work in the following areas (please check all that apply):
Salvation Army History & Structure Basic Needs
Evangelism Homelessness
Housing Rehabilitation & Counseling
Self-Sufficiency Camp
Prison Ministry Volunteer Opportunities
Disaster Services  

Other Topic(s) Not Listed Above:

Additional Comments:
I'd like to learn more about touring a Salvation Army facility.
I'd like to receive updates and information about The Salvation Army via email. Make sure to include your email address and zip code above.