Name * First Name Last Name Organization or Church Name * Website * http:// Your Position in the Organization * Email * Phone * (###) ### #### Address of the Venue * Address 1 Address 2 City State/Province Zip/Postal Code Country Expected Attendance * Type of Event * Choose an event type: Night of Worship Conference Workshop/Teaching Other Will airline travel be necessary to reach your event? * Yes No Not sure Do you have the budget to cover expenses for an 8-person team? * Yes No What is your budget to bring a team out for the event? * $ Requested Artists Date and Time of Event Start * Hour Minute Second AM PM Date and Time of Event End * Hour Minute Second AM PM Name of Event * Description of Event * What are your expectations for 2911 Worship’s participation in this event? * Will your event be streamed online in any manner? * (Any live recording or streaming of the event requires an Audio Engineer from 2911 Worship to be in attendance) Yes No Will the event have ticketing or registration? * Yes No Will the event be private or open to the public? * Private Open to the Public What other speakers or worship leaders have confirmed for your event? TERMS AND CONDITIONS * You must read and accept each of the terms below in order to process your request. Important Note: Sending this invitation does not confirm 2911 Worship’s participation. I agree that this Event Request Form is used by 2911 Worship for the purpose of coordinating agendas. All expenses will be evaluated for the event in question in accordance with the information provided in this form. Submission of this form is only a request and DOES NOT CONFIRM the participation of 2911 Worship in said event. Correct information is required to process this request. After review, a 2911 Worship representative will contact you as soon as possible. I agree that, subject to the needs of the request, each event may require any or all (but not limited to) of the following: deposit, fee, travel expenses, lodging, and meals. In case of confirmation, more details will be provided and included in contracts, commitment letters, and technical riders. I agree that this event will NOT be recorded in audio or video for sale or distribution without the consent and written permission of 2911 Worship. Agree Thank you!
