BOOK ROSIe O’neal

Thanks for considering Bishop Rosie for your event. Please fill out this request form and we will get back with you within 2 weeks from the submission date (excluding weekends and holidays).

1. Contact Name & Title

First Name

Last Name

2. What is the best email address?

3. What is the best contact phone number?

(###)

###

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4. What is the name of the Church or Organization. Include Pastor's name or Leader's name.

5. What is the Church’s/Organization’s website address?

http://

6. Where will the event will be hosted if different than Church/Organization indicated above?

7. What is the physical address where event will be held?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

8. What is the date or date range of your full event?

(Please include the day/s of the week with the dates.)

9. What is the day & date that you are asking Bishop O’neal to minister?

10. What is the name of your event? & What type of event is it?

Examples could be: Conference, Revival, Bible Study, Worship Night, Service, Online Event, In Person / Online Hybrid, Church or Pastoral Anniversary, Other

11. Overall, what is the planned audience for the event?

Men

Women

Leadership

Pastors

Young Adults

Other

12. Is this a ticketed or registration fee type event?

Yes

No