Micah Stampley

As you are aware, there are many details that go into bringing an artist or minister to a city for an event. Please complete this form and provide as much information as possible. This will assist us in the initial booking process. Please be aware that this serves as an invitation only, NOT a confirmation of appearance; it will merely assist us in making the best decision possible while doing all we can to meet your requested dates. If you would prefer to contact us with questions, please email us at heidi@micahstampley.org.

CONTACT INFORMATION

* denotes a required field

Sponsor/Host of Event:

Church Name:

Pastor’s Name*:

Contact Name*:

Contact Phone*:

Fax#:

Cell/Pager #:

eMail Address*:

Website Address:

Street Address:

City:

State:

Are you asking Micah to:

e.g. Speak, Special Music, Concert

Date(s) you are wanting to book Micah Stampley:

Time(s) of day Micah Stampley is expected to minister:

Type of event (Conference, Crusade, Convention, Etc.):

Allocated honorarium budget for Artist and team, if applicable (non-inclusive of travel, etc)

VENUE INFORMATION

Name of Church :

Venue or Event:

Location of Event (City):

State:

Zip:

Seating capacity:

# Expected to attend:

How are you

publicizing this event?

Is this a ticketed event?

Are there other Artist(s) or Ministers expected to be part of this event?