contact us

Thanks so much for visiting Radiant Church Jackson online!

If you have any questions or concerns, get in touch with us by using the form to the right or by emailing info@radiantjxn.com and we'll make sure to get back to you.

Name
Name
Phone *
Phone

2700 Spring Arbor Road
Jackson, MI 49203
USA

517-879-1813

Guest Speaker Form

Thank you for taking time to fill out this form. This will help us know how to serve you better while you're visiting with us at Radiant.

Name *
Name
Best number we can reach you at. *
Best number we can reach you at.
Will your spouse be attending with you?
Will your children be attending with you?
Assistant's Name
Assistant's Name
Assistant's Office Phone Number
Assistant's Office Phone Number
Assistant's Cell Number
Assistant's Cell Number
Will you have additional guest(s) attending with you? *
Your transportation needs & lodging accommodations:
How will you be arriving to our area? *
Please email your itinerary and invoice as soon as it is available, including reimbursement information.
Will you need hotel accommodations during your stay? *
Will you be renting a car during your stay? *
Please email or provide a copy of the invoice as soon as it is available, along with reimbursement information.
Product & Merchandise:
Will you be bringing product or merchandise with you?
Will you require someone from Radiant to run the sales of your table?
What forms of payment will you accept?
Do you have your own point of sales system such as an ipad, square account and reader?
Technical Needs:
*If you are a guest musician and /or band, please email a copy of your technical rider to mjpopenhagen@radiantjxn.com.
Do you have pictures or videos that you would like displayed?
Check all that apply
Please send us a copy of your notes, any media elements, videos or pictrues in the highest quality possible, to mjpopenhagen@radiantjxn.com
Name of person in charge of your media
Name of person in charge of your media
Phone Number
Phone Number
Microphone preference *
Stage needs: *
*IMPORTANT: Please send a copy of your current W9 to info@radiantjxn.com
GUEST SPEAKER RELEASE
I authorize Radiant Church to use my name, voice, likeness and biographic information for any promotional purpose and for publication on the internet. I warrant that the presentation and any written or verbal material I submit are original, that their publication will not infringe on the rights of others, and that I have full power to grant this license. If my presentation or written materials required permission for use, I have obtained written permission from the copyright proprietor. I grant Radiant Church a perpetual, royalty-free worldwide license to use, copy modify, Publicly display, publicly perform, broadcast and distribute in any format, including without limitation via the internet, intranets, CD-ROM and other technologies, the materials and your presentation of the materials. Therefore, I acknowledge that Radiant Church owns all rights to use recordings (tape and digital) and its written transcription for Radiant Church's own purposes and to distribute recordings and its written transcription in any medium, including in electronic format via the internet. I understand that this release in no way prohibits me from using my own material in any manner I so desire.
PLEASE SIGN AND DATE
Name *
Name
Date *
Date