BOOKING FORM FOR KELLIE COPELAND Name * First Name Last Name Email Organization Name Type of Organization Organization's Address Address 1 Address 2 City State/Province Zip/Postal Code Country Pastor or Organization Founders Name Date of Event MM DD YYYY Time of Event Hour Minute Second AM PM Where did you hear about us? Type of Event Location of Event Address 1 Address 2 City State/Province Zip/Postal Code Country Seating Capacity What is your vision in how you would like Kellie to minister to your organization? Has Kellie been a guest of this organization in the past? Yes No Will an honorarium be given? Yes No If no, please explain What is your policy on travel expenses for Kellie? Thank you!
