CONTACT:

JEREMY A TAYLOR

[email protected]      (1314) 827-1549  -Minstrel Taylor
[email protected]            (1314)335-7078   -Minstrel Taylor's Director of Finaince
www.liveforhim.Org                  (1314)560-7506    -Reginald Taylor

REQUEST:

PLEASE PRINT OUT AND MAIL TO:

2613 s11th Street
St. Louis, Mo
63108

Picture
 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:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________.