Please provide the following information: *Required Fields

Which Artist(s) Would You Like To Book for Your Event/ Service?

Judah Ministries Praise Team   Darla Quinerly Yuricha
Michael & Darla Yuricha
(Word & Worship)
Rev. Michael V. Yuricha
(Teaching/ Preaching)

Tell Us About You...
Contact Name: *
Contact Address:
City State Zip
Contact Phone: (Include Area Code)
Cell Phone: (Include Area Code)

(Include Area Code)

Email Address: *

Tell Us About Your Event...
Projected Date(s):
1st Choice
2nd Choice
3rd Choice
Time Of Event(s):
Location: (Address)
City State Zip
Name of Venue:
Type of venue?

(i.e. Church, Concert Hall, Convention Center, Outdoors etc)
Seating Capacity?

Are you providing the sound system? (Please see Sound System Requirements)
Yes No

Type of event?
(i.e. Concert, Outreach, Anniversary Service, Youth Service, etc)

What type of service(s) are you seeking?

How long would you like the artist to minister?

Are you selling tickets to the event? If so, how much?
Yes No    amt.$

Will you be receiving a love offering?
Yes No

Other Information/ Questions we should know:

Thank you for taking the time to complete our Event Request Form!



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