Ministry/Speaking Engagement Request Form

If you are making a ministry/speaking engagement request for Dr. Horace L. Mingo please fill out the form below.

If you would prefer to contact us with questions, please e-mail or call us at 352-375-9918.


Sponsor/ Host of Event:
Church Name:
Pastor's Name:
Contact Name:
Contact Phone:
Fax No.:
Cell/ Pager No.:
Email Address:
Street Address:


Are you asking Dr. Mingo to: (Check all that apply.)
Make an Appearance?
Date you are wanting Dr. Mingo to Minister:
Time of day Dr. Mingo is expected to Minister:
Type of event (Conference, Crusade, Convention, Etc.):



Name of Church/Venue or Event:
Location of Event:
Seating Capacity:
Number expected to attend:


How are you publicizing this event?
Are there other Ministers or Artist(s) expected to be part of this event? If so, please list them.
Please list any National Speakers, Authors or Recording Artists that you have hosted in the past year if any:


Please review your form before submitting. This is a request only and does not serve as a confirmation. You will be contacted in regards to this request upon receiving your “Letter of Intent”