Dr. Nycole P. Lyles-Belton "Dr. NYC" Request

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We thank you in advance for considering Dr. Nycole P. Lyles-Belton for your upcoming Worship Experience or Event. Please complete the entire Engagement Request Form as soon as possible in order for us to move forward with scheduling Dr. Nycole P. Lyles-Belton for the date you have requested. Blessings!

Email *

Name of Event Host or Organization *

Contact Person: *

Venue and Venue Location: *

Date of Event *

YYYY

Time of Event *

Time

Type of Event *

Church Women's Conference

Empowerment Conference

Revival

Television/Radio/Magazine/Online Interview

Book Signing

Leadership Training

Panelist

Photoshoot for Promo

Other:

Ticketed or Free Event? *

Proposed Budget for Dr. Nycole P. Lyles-Belton: *

Hotel Accommodations if not in the Atlantic City, NJ Area *

Yes

Travel Accomodations

Roundtrip Airfare and Ground Transportation (To and From Airport, Hotel and Venue)

Ground Transportation (If in driving distance of Atlantic City, NJ- Travel Expense Provided)

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Additional Information:

A copy of your responses will be emailed to the address you provided.

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