Request form for Ballroom Dancing Ministry Information

Pastor's Name:

Note: Pastors, recieve a complimentary Movement with Meaning Ministry Intro DVD while supplies last! By filling out this request form, you are simply requesting information concerning Lisa's Movement with Meaning Ballroom Dancing Ministry.  You are not obligated to or signing up for anything.  After submitting this request, we will be contacting you.

Church Name & Address:

Contact/Church Phone:

or

Best time to call:

E-mail

Any questions, comments or concerns regarding this ministry, please type below:

Once you have completed the form above, please click on the submit button below.  We will be contacting you soon.

After submitting you will be directed to a confirmation page.  To return to site, simply press the back button.

Thank you for requesting information concerning this ministry.  We look forward to the opportunity to share with you the gift of dance!

All information collected on this page is strictly used for contacting purposes.  Your  information will not be given or sold to a third party.

HOME