Jesus Disciple

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Booking Form

Wednesday, 08 September 2010

Booking Form

If you would like Jesus Disciple to perform at your event, please fill out this form and he will get back to you as soon as possible.

Name of Organization

First Name

Last Name

Are you the event sponsor?

Phone Number

E-mail Address

Title of Event

Please describe the event

Name of Venue

Type of Venue

Venue of Address

Venue City, State & Zip

Date(s) Requested

Age Range of Audience

Expected Attendance

Start Time and End Time of desired time slot

Event Website Address

Event Budget

Honorarium

Other Provisions

Reason for Event

Why Jesus Disciple?

= Required

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