CONTACT:
REQUEST:
PLEASE PRINT OUT AND MAIL TO:
2613 s11th Street
St. Louis, Mo
63108
NAME:__________________ ________________
(Last) (First)
EMAIL:______________________________
CHURCH:______________________________
PASTOR:_______________________________
CITY:____________________
STATE:___________________
ZIP:______________
DATE BEING REQUESTED (PLEASE INCLUDE TIME):_____________________________________________
VENUE:___________________________
IS THIS A TICKETED EVENT? IF SO HOW MUCH ARE THE TICKETS?______________________________________________________________
SEATING CAPACITY:________________
PROPOSED HONORARIUM:________________
PLEASE STATE YOUR DESIRED REQUEST:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________.