We are excited about your interest in hosting Scott Fussnecker at your church event or conference. Please fill out the form below to help us learn more about your event and how we can best coordinate the details.

Name

First Name

Last Name

(For confirmation and follow-up)

Phone

(###)

###

####

Church Name

Church Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Event

(e.g., Sunday service, men’s conference, youth rally, etc.)

Message or special notes

(Use this field for additional details or a message to Scott and someone will be in contact with you soon)