Impact Discipleship Ministries Booking Form

Impact Discipleship Ministries Booking Form

You must submit this form in order to officially request to schedule an Impact Event. Impact staff will confirm receiving this form and will send you a booking contract once your date is confirmed.
Type of Event *
Marketing the Event *
FACILITIES
Your facility can provide (optional items):
A Screen Projector or Large TV to Display Presentation Slides *

Yes No
A Wireless or Handheld Microphone *

Yes No
A Podium or Speaking Stand for Notes *

Yes No
Tablecloths for Participant Tables

Yes No
A Stool for Speaker *

Yes No
The Wifi Password for Speaker *

Yes No
2 Tables: One for Check-in/Registration and One for Impact Resources *

Yes No
A Volunteer to Run the Presentation Slides During the Event *

Yes No
Meals for Participants *

Breakfast Lunch Dinner None
TECHNOLOGY
Please give us more information on:
What computer system you will use for event *
Please list any additional technical support you will need from Impact staff:
EVENT
Please provide information on:
Requested Date *

Month Day Year
Date
Requested Start Time *

: Hour Minutes AM/PM Option
Name of church, event center, or other location where event will take place *
Host or Host Church *
Event Location Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Location Phone *

Area Code Phone Number
Pastor (if event is hosted by a church)

First Name Last Name
Event Coordinator *

Prefix First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Any questions, concerns, or comments you have for us? How can we best support you in this process?
Please email any immediate needs to info@impactdisciples.com, or call us at (678) 854.9322.
Your E-Signature Here *

Clear
You will receive a confirmation or request to reschedule in 1-5 business days from the Impact Office.
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