REQUEST FORM FOR APOSTLE ANTHONY YARDES'S BOOKING

Information about the Host
Name of the Church/ Organization :
Address 1 :
Address 2 :
City :
State/ Province :
Zip Code :
Country :
Telephone :
   
Name of the Pastor/ Host :
Address 1 :
Address 2 :
City :
State/ Province :
Zip Code :
Country :
Telephone :
   
Event Information
Type of Event :

 
If Other, please specify:

Dates Requested :
Theme of Event :
Special Topic Request :
Expected Number of attendees :
Number of churches participating :
Pastors Participating :
Timing for Day Sessions :
Timing for Evening Sessions :
 
Venue Information
Type of Venue :
Name :
Address 1 :
Address 2 :
City :
State/ Province :
Zip Code :
Country :
   
Accomodation, Transport and Travel Arrangements
Name of the hotel :
Address 1 :
Address 2 :
City :
State/Province :
Zip Code :
Country :
   
Ground Transportation arrangements :
   
Air Travel (From and To Barbados) :
First Class  Club Class  Coach  Not Applicable
 
Miscellaneous Information
Will display area be provided for the sale of speaker's books and tapes? Yes  No
Media Interviews Expected :
Host ministry will give : Honorarium  Love Gift
Additional Information/Comments :
   
Your Name :
E-mail address :