Avonne's Booking Form
Organization/Ministry Information
Event Information
Requested Topic/Theme:
Duration of requested speaking time?
*
Budget for Speaker:
Only churches may insert "Honorarium". All others must provide a dollar amount.
For engagements outside of the DC Metro Area (beyond 60 mile radius), please adjust your budget to include Hotel and Air Fare.
Budgets of $1000 or more include "One" one-on-one coaching sessions for up to 5 individuals
A non-refundable deposit of $100 is required. Church ministries are only required to provide a letter from the church to secure the date.
Event Location:
Pls Select One Church Community Center Detention Facility Hotel School University Military Installation Other *
Event Date(s):
Event City/State:
, State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY .*
Anticipated Audience Size?
Please Select One 05 - 25 25 - 50 50 - 100 100 - 150 151 - 200 201 - 250 251 - 300 301 - 350 351 - 400 401 - 450 451 - 500 501 - 550 551 - 600 601 - 700 701 - 800 801 - 900 901 - 1000 1000 + Other * (The minimum audience is size 5)
Point of contact information
Name
Address
*Street or PO Box
*City, Please Select One AL-Alabama AK-Alaska AZ-Arizona AR-Arkansas CA-California CO-Colorado CT-Connecticut DE-Delaware DC-District of Columbia FL-Florida GA-Georgia HI-Hawaii ID-Idaho IL-Illinois IN-Indiana IA-Iowa KS-Kansas KY-Kentucky LA-Louisiana ME-Maine MD-Maryland MA-Massachusetts MI-Michigan MN-Minnesota MS-Mississippi MO-Missouri MT-Montana NE-Nebraska NV-Nevada NH-New Hampshire NJ-New Jersey NM-New Mexico NY-New York NC-North Carolina ND-North Dakota OH-Ohio OK-Oklahoma OR-Oregon PA-Pennsylvania RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VT-Vermont VA-Virginia WA-Washington WV-West Virginia WI-Wisconsin WY-Wyoming State, Zip
E-mail
Website
Tel
CERTIFICATION:
Yes | No
I understand that an agreement must be made and placed in writing and a non-refundable deposit or Church Letter must be received before Avonne Curry is secured.
How did you hear about this organization?