Click below to download the request form for Rev. Larry Ginn

or any staff or person of ACI to speak, perform or facilitate at your event!


Print it, fill it out and email or mail it back to ACI!

    Organization Name:

    Event Name:

    Event Date:

    Event Address:

    Primary Event Contact:   

    Phone Number:

    Email:    Event Dates:

    Start Time:   End Time:

    Arrival Time:   

    Allotted Speaking Time:

    Type of Event:


    Group Size:

    Please Describe your event: