Thank you so much for your interest in booking Darlene Bishop. Please complete the following form, click on the SUBMIT button, and we will contact you shortly for confirmation and arrangement details.

If you would like a printer friendly version of this form to fax to us instead of sending via the internet, Click Here. Our fax number is 513.423.3236. Please mark your fax, Attn: Shawna.
Please type in the number you see into the field above. This helps stop spammers
Todays date:
March 28, 2017
Your Name:
Your Position / Title:
Your Phone Number:
Your Fax Number:

Host Information
Host Church / Organization:
Email address:
Church Website URL (if applicable):

Telephone Number:

Fax Number:

Provence or country
Meeting Coordinator
Work Number

Cell Phone Number:

Home Phone Number:

Pastor / Host:

Spouse's Name:

Pastor's Residence Telephone Number (for emergency only):

How did you first hear about Co-Pastor Darlene Bishop?:

Meeting Facility Information

Location of meeting if different from above:

Physical address:

Telephone Number:

Fax Number:

Has Pastor Darlene ever ministered at your Church?:

If so, when was the last time?:

Ministry Engagement (Schedule / Information)

Requested date(s) of ministry:

Service Time:

What "type" of service(s)?:

Theme name (if Camp Meeting, Conference, etc.):

For advertising purposes, will registration fee be charged (if so, what amount)?:

Expected Attendance:

Average membership of host Church:

Average number of people who attend Sunday morning service:

Average mid-week attendance:

Other guest ministries and their ministry time(s):

What guest ministries have ministered at your Church recently?:

Are there any special events planned following the service(s)? (Co-Pastor Darlene does not normally eat after ministering but is happy to fellowship):

Total occupancy of meeting facility:

What type of advertising will you do?:

Travel Accommodations
Due to the nature of Co-Pastor Darlene Bishop's frequent travel schedule, we will arrange her airline reservations and ask that reimbursement be made for her and her assistant's airfare. If confirmed, she requests two connecting, non-smoking rooms with restaurant and room service available to accomodate her and her travel assistant.

Will expenses be paid (including reimbursement for airline ticket for Co-Pastor and assistant and hotel room(s))?:

Nearest commercial airport to your location:

Driving time from airport to hotel:

Driving time from hotel to Church / meeting facility:

Driving time from Church / meeting facility to airport:

Hotel accommodations:
(If confirmed, please have check-in (including room key) completed prior to Co-Pastor's arrival so that she may go directly to room)
Hotel Name:


Phone Number:

Fax Number:

Name of nearby restaurants:

Product Sales

Will Co-Pastor Darlene Bishop be permitted to sell product?:

Yes No

May we have at least two (2) tables to display and sell ministry products?:

Yes No

Can you provide at least two (2) volunteers to help work the tables?:

Yes No

Any Miscellaneous information you would like to provide?:

Yes No
Additional details:

Darlene Bishop can be contacted through Solid Rock Church
Call 513.423.7040. Ask for Darlene's assistant, Shawna Halsey

By mail:
Darlene Bishop Ministries
P.O. Box 350
Monroe, OH 45050

Or you can fax Darlene at 513.423.3236. Mark your fax, Attn: Shawna