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JBI Booking Request Form
Host Church/Organization
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Pastor/Director
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Organization Address
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State
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Zip
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Membership Count
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Years of Active Ministry at current location
*
Website
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Phone
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Type of Event
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Theme
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Requested Start Date To Minister
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Requested End Date To Minister
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Event Venue
*
Venue Capacity
*
Venue Website
*
Event Address
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Event Time
*
Will there be an admission/registration cost?
*
If Yes, What Is The Registration Cost?
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Event Attire
*
Expected Attendance
*
Demographic
*
Have You Held this Event Before?
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Are other ministries partnering to host Dr. Bynum?
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Is this event indoors or outdoors?
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Desired Arrival Time to Venue?
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Desired Arrival Time to Venue?
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Are Other Artists or Ministers ministering at the event?
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Are there any time restraints we should be aware of?
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Contact Name
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Position
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Daytime Phone
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Evening Phone
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Mailing Address
*
Email
*
Fax
*
Hours of Operation
*
Best time to Contact
*
JBI Media/Product Sales Contact Name
*
JBI Media/Product Sales Contact Phone
*
Please provide a brief description and purpose for this event?
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Has Dr. Bynum ever ministered at your ministry?
*
Why do you believe Dr. Juanita Bynum is the best fit at this time for your ministry?
*
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