Booking Form

Booking Form: Tony and/or Kim Moore

What is the date of your service or event?

Who would you like to invite?

Tony Moore
Kim Moore
Both Tony And Kim Moore

Please provide us your contact information..

First Name:

Last Name:

Job Title:

Work Phone:

Home Phone:

Email Address:

Please provide us with some information about your church.

Church Name:

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Senior Pastor:

Website:

Work Phone:

Home Phone:

Email Address:

Number of Members:

What type of event is this? (i.e. regularly scheduled service/s, retreat, conference, workshop/seminar)

What is the theme of the event?

What topic/s would you like addressed?

Is this the first time this topic has been addressed? If not, what prompts addressing it now? If it has been addressed, by whom?

How many attendees do you expect?

Does the number of attendees represent couples or individuals?

Couples
Singles
Both
But Mostly Couples

If this is a conference, who else will be speaking?

Are other churches being invited to this event?

Yes
No

If yes, please list:

Where will the ministry take place? (If location is other than your church please provide full address.)

What is the total amount of time Tony and/or Kim are asked to minister?

45 Minutes
1 Hour
2-3 Hours
3-6 Hours Over 2 Days (Please Explain Below)
4-8 Hours Over 2 Days (Please Explain Below)

If over 3 hours please explain here

What time will Tony and/or Kim be ministering? Be specific.

If out side of the metro-Atlanta area, what provision for travel has been made?

If air travel is involved, what provision has been made for transportation to and from the airport?

What hotel provision has been made? Please provide name, address and phone.

What provision has been made for meals?

If you are requesting only Tony or Kim, what provision has been made for an assistant to accompany him or her?

Does your church have a marriage ministry?

Yes
No

What does your marriage ministry include? (Check all that apply)

Annual Retreat
Date Nights (Indicate Frequency Below)
Large Group Teaching By Church Leader (Indicate Frequency Below)
Small Group Bible Study (Indicate Frequency Below)
Other

Marriage Ministry Additional Information

How does your church respond to marriage counseling needs?

The Pastor Primarily
Counseling Department
Outsourcing Requests To Local Counseling Practice

What % of requests for help are marriage related?

For what do couples most often request help?

What marriage curriculum or small group studies has your church used? Please list all. Be specific.

How do does your church evaluate the effectiveness of the marriage curriculum?

Does your church require pre-marital counseling or participation in a program before couples marry? If so, what is required? (Check all that apply)

A Meeting With The Pastor
Pre-Marital Counseling (3-6 Sessions)
Pre-Marital Course

Does your church have any customs or expectations of which we should be aware? Please be specific.

Will a table be provided to set up a display and sell products?

Yes
Yes But With Stipulations. Explain Below
No Space Is Not Conducive

Information Regarding Product Display

As Tony and/or Kim do not charge for ministry, please provide the amount of honorarium set aside. Please take into consideration the amount of time for which you are asking ministry and whether or not one or both of them are being requested. This amount is separate from travel, hotel, food, and materials provided participants.

Amount of honorarium

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Booking Form: Tony and/or Kim Moore

Please provide us your contact information..

Please provide us with some information about your church.

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