Ken Fernald Music Ministries

Confirmation Form

Home music contact

If you have already scheduled a Ken Fernald concert and have received the promotion 
packet with the confirmation form, you can now fill the form out online.  Fill in the spaces 
below, fill in today's date and SUBMIT!  Thank you!

Please complete and return by either using the submit button below or print the form out
and send to Ken Fernald Music Ministries, Inc., P.O. Box 4461, Portsmouth, NH 03802-4461

Name of Church or Group:
Street Address of Service
City, State, Zip
Pastor's or Director's Name
Mailing Address (if different)
Date/Day/Time of Service AM PM
Length of Service
Ken's Allowed Time
Phone Numbers Church Home
Contact E-Mail Name
Today's
Date
 
   
(We will verify receipt of submission.)
* * * * *

Depending on the circumstances Ken may need lodging, meals, or travel directions from your group. He will contact you directly. Please note, any honorariums, love offerings, or travel expenses, should be given to Ken the day or evening of the concert ministry.

Thank You For Your Cooperation!

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© 2006 Ken Fernald Music Ministries, Inc.                      E-mail kenfernald@comcast.net
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