Booking Request Form

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Thank you for considering me for your event! It is an honor to utilize my gifts and abilities to serve you. Please complete this form so I can better understand the nature of your request and how I may be of service to you.

Email *

Name of your Contact Person/Event Coordinator (the person who is handling the logistics of your event) *

Email address for all correspondences *

Phone number of Event Coordinator/Contact Person *

Location of event *

Date of the event *

YYYY

Time of the event *

Time

Please provide a detailed description of your event. Include your theme, your target audience, and your desired outcome. *

Please select the service(s) you would like me to present at your event. Select all that apply *

Marriage Ceremony (up to 2 due-diligence counseling sessions are required)

Hospice Chaplaincy

Speaker: Contextual bible teaching that will edify and encourge your audience

Speaker: Motivational presentation to individuals who desire more out of life. Topic can be catered to your event theme, as long as it is within my scope of knowledge.

Guest Panelist: Participate and contribute to a panel discussion of any topic that I have experience in.

Funeral Service (Eulogy & family support)

Podcast Guest: Feature on your podcast

Moderator or Mistress of Ceremony: Serve as your event facilitator whether it be casual or formal

Required

Additional Requests or Comments

***Please Note*** This submission is not a scheduled booking. It is your request for a booking. I will review all submitted requests within 48 hrs and respond graciously with my availability and a quote for services. You can decide at that time whether you would like to proceed with booking me for your event. Should you decide to book, you will receive a link to submit your deposit. Please confirm that you have read this statement and understand the booking process. *

Yes, I understand that submitting this form is not a scheduled booking.

No, I do not understand and I will email hellojuanitab@gmail.com for more understanding.

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

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