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Gifted
Home
About
Bookings
Gifted
Booking
Please complete the form below to make a booking request
General Information
Name of Church / Organization
*
First Name
Last Name
Name of Pastor / Contact Person
*
First Name
Last Name
Pastor / Contact Person’s Email
*
Assistant’s Name
First Name
Last Name
Contact Phone #
*
(###)
###
####
Speaking Information
Date(s) of Event
*
MM
DD
YYYY
Purpose of Event
*
Time allotted for Blake to share the message
*
Speaking Topic
*
Estimated Number of Attendees
*
Makeup of Attendees
*
Attire
*
Typical Budgeted Honorarium For This Event
*
Previous Speakers at Your Event
*
Additional Notes / Pertinent Information
Travel Information
Location and Address of Event Site
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Nearest Airport
*
Distance to Airport from Speaking Location
*
Blake prefers not to travel alone. Would you be willing to cover flight costs for another person?
Yes
No
Verification
Please enter any two digits
*
Example: 11
Thank you!