VISITOR NAME
*
First Name
Last Name
ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Country
NATIONALITY
*
COUNTRY OF BIRTH
*
DO YOU SPEAK ENGLISH?
YES
NO
YES,BUT NOT FLUENTLY
IF NO, WHAT LANGUAGE DO YOU SPEAK?
DATE OF BIRTH
*
-
Month
-
Day
Year
Date
AGE
GENDER
MALE
FEMALE
E-MAIL
*
CELL PHONE NUMBER
*
-
Area Code
Phone Number
HOME PHONE NUMBER
*
-
Area Code
Phone Number
OCCUPATION
RELATIONSHIP STATUS
SINGLE
MARRIED
DIVORCED
SEPARATED
WIDOW
ARE YOU A CHRISTIAN?
*
YES
NO
HAVE YOU EVER BEEN MEDICALLY DIAGNOSED WITH ANY FORM OF SICKNESS OR DISEASE
*
YES
NO
IF YES, PLEASE EXPLAIN
HOW LONG HAVE YOU HAD THIS ISSUE?
ARE YOU CURRENTLY TAKING MEDICATION FOR THIS PROBLEM?
YES
NO
ARE YOU IN A WHEELCHAIR?
*
YES
NO
DO YOU HAVE ANY DISABLITIES?
YES
NO
IF YES, PLEASE EXPLAIN
DO YOU NEED ASSISTANCE TO MOVE AROUND?
YES
NO
HAS ANYONE EVER ADMINISTERED DELIVERANCE TO YOU?
*
YES
NO
WHAT IS THE PURPOSE OF YOUR TRIP?
*
Deliverance
Prayer
Healing
Spiritual Attacks
Emotional Problems
Marriage Problems
Fruit of the Womb
Breakthrough
Legal Matters
Torment
Sleep Problems
Other
PLEASE UPLOAD A RECENT PHOTO OF YOURSELF.
*
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TRAVELING PARTY INFORMATION
*PLEASE NOTE, your SPOUSE and ALL ADDITIONAL ADULTS TRAVELING IN YOUR PARTY MUST COMPLETE A SEPARATE IVP BOOKING FORM.
NUMBER OF PERSONS TRAVELING WITH YOU
*
LIST THE NAMES OF PERSONS TRAVELING WITH YOU ALONG WITH THEIR RELATIONSHIP TO YOU.
NUMBER OF CHILDREN TRAVELING WITH YOU
*
NUMBER OF ADULTS TRAVELING WITH YOU
*
IS EVERYONE IN YOUR PARTY ARRIVING ON THE SAME AIRLINE, DATE AND TIME AS YOU?
YES
NO
YOUR ARRIVAL DATE
*
Please select a day
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Day
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January
February
March
April
May
June
July
August
September
October
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December
Month
Please select a year
2026
2025
2024
2023
Year
YOUR DEPARTURE DATE
*
Please select a day
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31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2026
2025
2024
2023
Year
YOUR ARRIVAL TIME
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Hour
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Minutes
AM
PM
AM/PM Option
YOUR DEPARTURE TIME
1
2
3
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11
12
:
Hour
00
01
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Minutes
AM
PM
AM/PM Option
AIRLINE NAME & FLIGHT NUMBER
PLEASE UPLOAD YOUR TRAVEL ITINERARY
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(*Please note, visitors that fail to upload a valid travel itinerary will NOT be provided airport pick up and drop off services from our MINISTRY'S EXCLUSIVE GROUND TRANSPORTATION TEAM)
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HOTEL INFORMATION
*Please note that you must book a hotel for the duration of your stay while here in the Bahamas prior to your arrival date. Our ministry's Exclusive Ground Transportation Services Team, will ONLY provide services to visitors who are staying at a HOTEL or RESORT. Visitors staying at an AIR BNB, PRIVATE HOME, APARTMENT OR CONDO, WILL NOT be provided with ground transportation. We kindly ask that you arrange own transportation. PLEASE SEE OUR TRANSPORTATION POLICY FOR MORE INFORMATION at www.mattienottage.org
NAME OF HOTEL ACCOMODATION?
HOTEL CONFIRMATION NUMBER
HOTEL ADDRESS
HOTEL CONTACT NUMBER
PLEASE UPLOAD YOUR HOTEL CONFIRMATION
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WOULD YOU LIKE TO REQUEST BFOMI GROUND TRANSPORTATION SERVICES? (*Please be sure read over our GROUND TRANSPORTATION Policies & Procedures under the VISIT US tab on our web page- www.mattienottage.org)
*
YES
NO
WILL YOU BE RENTING A VEHICLE?
YES
NO
HAVE YOU ARRANGED YOUR OWN GROUND TRANSPORTATION?
YES
NO
EMERGENCY CONTACT
Kindly state below who should be contacted in case of an emergency
EMERGENCY CONTACT NAME
*
First Name
Last Name
PHONE NUMBER
*
-
Area Code
Phone Number
EMAIL
RELATIONSHIP TO YOU
*
PAYMENT DETAILS
We are delighted to have you and your traveling party as our guests. Our INTERNATIONAL VISITORS PROGRAM requires you pay a fee in order to be officially registered as our IVP Guest. Your payment will afford you the following: 1. GROUND TRANSPORTATION (*restrictions applies, see more details on www.mattienottage.org) 2. CONCIERGE SERVICES (at our church facility) 3. RESERVED SEATING (in our sanctuary during our services) 4. VERIFICATION SERVICES TO THE BAHAMAS DEPARTMENT OF IMMIGRATION 5. PRAYER OVER YOUR DOCUMENTS AND/OR PHOTOS *Your IVP payment below does NOT GUARANTEE that you and/or those in your travel party will be ministered to by Apostle Edison or Prophetess Dr. Mattie Nottage. ADDITIONALLY, YOUR IVP FEE PAYMENT DOES NOT CONFIRMS YOU FOR A ONE ON ONE SESSION.
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ADULT IVP
$299.00
$
299.00
18 YEARS AND OLDER
Quantity
1
Item subtotal:
$0.00
$
0.00
CHILD IVP
$99.00
$
99.00
12 TO 17 YEARS OLD
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$0.00
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
*DISCLAIMER
Please be advised, you will NOT be confirmed as our IVP GUEST until the following documents have been uploaded to this form or sent via email: visitor@mattienottage.org: 1. HOTEL BOOKING CONFIRMATION . 2. FLIGHT CONFIRMATION (arrival and departure)
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