Booking Form for the EXPERIENCE

Booking

Contact Person*

Name of Organization*

Street Address*

City, State, Zip *

Event Purpose

Contact Phone*

Name of Event*

Date and Time of Event (Theme)*

Type of Ministering*

The Experience AugustaThe Experience DaytonaPastor Derwin R. Jackson, Sr.Christian DJ (Plays ONLY Gospel Music & $200 setup fee $50 an Hour after 1st hr.)

Number of Songs/Speaking*

Venue*

Venue Address*

Honorarium?*

E-mail*

Website

Message

Please note that completion and submission of this form does not and will not guarantee availability.