BOOK COACH FELICIA

BOOKING REQUEST
Requested Event Type:

 
YOUR INFORMATION

Your Name:
Your Title:
Oraganization:
Address:
Website:
Cell Phone Number:
Additional Phone Number:
E-Mail:
 
EVENT INFORMATION
Event Name:
Date:
Time:
Event Description:
Target Audience:
Amount of People in Attendance:
Honorarium Budget (Excluding Travel):
Open to Public:
Is the Event Being Filmed:
(If yes, please will you provide a copy of footage
for our marketing and possibly merchandising use.):
 
VENUE INFORMATION
Venue Name:
Venue Address:
Venue Website:
 
ADDITIONAL INFORMATION