Bishop Shannon C. Cook Booking Request Form Name* First Last Name of Company or Event*Phone*Email* Speaking Topic*Date of Event* Date Format: MM slash DD slash YYYY Specify Event Time*Name of Event LocationEvent Location Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Length of Presentation?Multiple Presentations Needed?YesNoAudience SizeWho is your audience? What do they do?What are their challenges?What do you want their take away to be?What do you want them to learn or acquire from this presentation?A/V Equipment Available?YesNoEvent Recorded?YesNoInternet Access?YesNoVendor table available for books/products sales?What is your budget for this presentation?*What is your travel policy? Should I book the travel or will your company handle that? Δ
