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BOOKING REQUEST

Adegbayi International Ministries
As soon as we receive your inquiry, we will contact you. If you have questions about using this form, please feel free to call us.
Full Name*

First NameLast Name
Primary Contact's Email Address*
Primary Contact's Phone Number
Primary Contact's Mobile Phone Number
Secondary Contact's Email Address*
Secondary Contact's Phone Number
Secondary Contact's Mobile Phone Number
Name of Organization*
Organization Website
Organization Type*
Organization Industry*
Prospective Date of Event - First Choice Date*
Prospective Date of Event - Second Choice Date*
Keynote Topic*
Event Start Time*
Start Time of Speaker*
End Time of Speaker*
Event Name
Event Description
Panel Topic*
Panelists: Specific Names and Affiliation
Venue Name*
Street Address*
Address Line 2*
City*
State*
Zip Code*
Country*
Closest Airport to Venue*
What Media Outlets (Radio, Television, Newspaper) will be present at this event? How is the event being promoted?
Organization Will Cover Expenses

YesNo
Expenses Covered by Organization

Air TravelCar ServiceHotel
Speaker will have products (book, tapes, etc.) available for your event. Would you be willing to provide 2-3 people to help sell Speaker's products?

YesNo
Honorarium

YesNo
Deadline for Response:*
If the event is confirmed, we require a 50% deposit immediately upon acceptance, to secure the date on our calendar. The remaining 50& is due 10 business days prior to the date of the event.
Should be Empty:

BOOKING REQUEST