Mason Temple Church of God in Christ

Gary Lee Booking Request Form

First Name

Last Name

Phone Number

Name of Ministry or Organization

Ministry or Organization Website

Event Address

City

State

Zip/Postal Code

Will travel and lodging be provided, if necessary?

Yes

Name of Requested Event or Conference

Theme(s) and/or Focus of Gathering

Date of Event

Time of Event

What is the suggested attire for the event? (Casual, Church, Black Tie, etc)

Number of Speaking Sessions Requested

I understand that by filling this form out does not guarantee any confirmed bookings

Yes