Brianna Henderson Booking Form

Booking Agreement

Complete form below to retain the services of Brianna D. Henderson
For Direct Inquiries contact the main representative at letstalkppcm@yahoo.com or call (214)-412-5378

*Rate is confirmed upon booking.
Your Name *

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

Area Code Phone Number
Event Date & Time *

Month Day Year Hour Minutes AM/PM Option
We are booking Brianna for *
Name of Event *
Name of Venue *
Venue Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Event Attire
Honorarium Pricing

Prices based on engagement length and do not include travel cost.
Please select an option: *
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Certified Family Partner $ 1,000.00

PPCM Workshop $ 1,200.00

PPCM Screening Course $ 1,250.00

Panel Discussion $ 2,500.00

PPCM Song Performance $ 3,000.00

Guest Speaker $ 4,000.00

Keynote Speaker $ 5,000.00

Total $ 0.00
Type a question

Other Arrangement (explain below)
Other Arrangement
A 50% Non-refundable Deposit is required to guarantee speaking date. *

I will send a check made payable to Brianna Harris-Henderson Email me an invoice via Paypal
Travel Arrangements
Please select an option *

This event is in Texas (in-person) This event is outside of Texas. (Email me a travel estimate.) Virtual event
Payment Terms

Please check to show your understanding and agreement with the terms below
Confirm agreement by selecting both *

I agree to pay in full all financial obligations including travel expenses due to Brianna prior to event. I agree to make checks payable to Brianna Harris-Henderson
Terms of Agreement
Check to agree with terms *

This contract is for the personal services of Brianna Harris-Henderson made between you(“purchaser") for the event described. The speaker agrees to attend according to the terms and conditions listed.
Signature *

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Booking Agreement

Honorarium Pricing

Travel Arrangements

Payment Terms

Terms of Agreement