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AGOM & PVOP BOOKING FORM
Church or Individual Requesting Services:___________________________________________________
Address:_________________________________________________________________________________
_________________________________________________________________________________________
Phone: ________________________Contact : __________________________________________________
Theme or Name of Event: __________________________________________________________________
Brief Description of Event: _________________________________________________________________
_________________________________________________________________________________________
Date of Event: ____________________________________________________________________________
Location of Event: ________________________________________________________________________
Service Requested: _______________________________________________________________________
Special Requirements:_____________________________________________________________________
Accommodations Provided:
_________________________________________________________________________________________
Budgeted Amount (if any): _______________
Signature of Coordinator of Event: __________________________________________________________
Print Name__________________
*By signing this booking form you are releasing AVDM/AGOM of any liabilities and/or
responsibilities in the coordination of this event and you are agreeing to provide the honorarium
amount of _____ discussed on_______________________________.
Comments:_______________________________________________________________________________
_________________________________________________________________________________________
***** You may print this form and mail it to:
Anointed Generations Outreach Ministry
PO. Box 99814
Raleigh, NC 27624
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