Carmen Barnes Booking Form

Booking Agreement

Complete form below to retain the services of Dr. Carmen Barnes
For Direct Inquiries email: beignited12@gmail.com or call (501) 313-0564
Event Date & Time*

MonthDayYear
Prophetic Prayer MinistryGuest SpeakerConference/RevivalPanel DiscussionCultivate Prayer SummitVirtuallyOther
Name of Event*
Name of Venue*
Venue Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Event Attire
Your Name*

First NameLast Name
E-mail*
example@example.com
Phone*

Area CodePhone Number
Honorarium & Booking Details Honorariums are prayerfully considered and discussed upon review of the invitation. May vary based on location, event scope, and availability. A non-refundable deposit may be required to confirm the engagement. We look forward to serving alongside you.
Travel Arrangements

Please email for Hotel and Transportation
This event is in ArkansasThis event is outside of Pine Bluff, Arkansas (Please email me a travel estimate)
Should be Empty: