YOUR NAME (required)

YOUR EMAIL (required)

TELEPHONE (required)

EVENT DATE (required)

EVENT TIME (required)

HOST NAME (required)

EVENT NAME (required)

EVENT DESCRIPTION (required)

EVENT THEME

SUPPORTING OR REFERENCE SCRIPTURE

EVENT LOCATION NAME (required)

EVENT LOCATION ADDRESS (required)

DO YOU HAVE A WEBSITE OR SOCIAL MEDIA PAGE WE CAN REFERENCE? (required)
YesNo

IF YOU HAVE A WEBSITE OR SOCIAL MEDIA PAGE, PLEASE PROVIDE THE WEB ADDRESS:

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PLEASE SPECIFY THE TYPE OF MINISTRY YOU ARE REQUESTING FROM MINISTER SHIRLEEN HODGE: (required)
Minister The WordMinister as Psalmist

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WHAT IS THE ATTIRE FOR THE EVENT? (required)
Church DressCasualBlack TieOther

IF OTHER, PLEASE EXPLAIN:

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IS THERE A REGISTRATION FEE OR TICKET COST FOR ATTENDEES OF YOUR EVENT? (required)
YesNo

IF THERE IS A REGISTRATION FEE OR TICKET COST, PLEASE PROVIDE THE AMOUNT DETAILS:

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WOULD YOU LIKE OUR MUSIC MINISTRY TO MINISTER IN SONG DURING YOUR EVENT? (required)
YesNo

IF YOU WOULD LIKE OUR MUSIC MINISTRY TO MINISTER, PLEASE INDICATE THE INSTRUMENTS YOU HAVE AVAILABLE FOR THEIR USE:
KeyboardDrumsOrganOther (specify below)

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WILL YOU BE RECORDING YOUR EVENT? (required)
YesNo

IF YES, PLEASE INDICATE THE TYPE OF RECORDING:
AudioVideo

ARE YOU ABLE TO PROVIDE A COMPLIMENTARY COPY OF THE RECORDING TO US?
YesNo (If No, please explain below)

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ADDITIONAL COMMENTS: