Gerald and Yvette Booking Request Form (IMI)

Gerald & Yvette Booking Request Form

This form is for anyone requesting the Bentons to speak at an event. If a question does not apply to you, please put "N/A" as your response
Your Ministry / Organization Name*
Ministry / Organization Email*
example@example.com
Primary Contact Name*

First NameLast Name
Primary Contact Email*
example@example.com
Primary Contact Phone Number*
Please enter a valid phone number.
Event Information
Event Type*
Type of Presentation / Appearance*
Event Name & Theme*
Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Start Date *

MonthDayYear
Date
Hour MinutesAM/PM Option
Event End Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
If you are requesting our attendance at a conference, workshop or retreat, we would like to know what did God say to you about our being there?*
What is it that you feel we might be able to do for the people in attendance?*
Do you believe in the following: (please check all that apply)*

Speaking in tonguesLaying on of handsDeliverance, with possible manifestation of demonsAnointing others with oil
Suggested Topic for The Bentons*
Benton's Speaking Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Duration of Speaking Time
What type of advertising will you do (check all that apply)*

Social MediaRadioTelevisionText BlastPhysical Flyer HandoutsNewspaper
Any Special events following the main event?*
Expected Number of Attendees*
Target Demographics of Audience (please check all that apply)*

MarriedUnmarriedMenWomenYouth
Will there be display table(s) available to sell merchandise? If so, what size and do you have someone to work the table(s)?*
Travel & Hotel
Will there be a driver provided to and from the event?
Audio / Visual
Will the service(s) be video-recorded?*

YESNO
Will services(s) be audio-recorded?*

YESNO
Can you provide links to the event if being lived streamed?*

YESNON/A
Can you provide copies of audio/video master tapes following the service?*

YESNON/A
Should be Empty:

Gerald & Yvette Booking Request Form

Event Information

Travel & Hotel

Audio / Visual