GAIL RENEE MOSS
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Please complete the form below to check availability.
Poetic Ministry Invitation Form
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Indicates required field
First Name (Contact Person)
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Last Name
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Phone Number
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Select One
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In Person (DMV Area)
In Person (Travel)
Virtual (online/video conference)
Teleconference (dial-in / phone / mobile)
Email
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Date of Event
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Select One
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Poetry Reading / Spoken Word
Other (Explain Below)*
*Other / Details
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Estimate Number of Attendees
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Type (Wedding, Women's, Worship Service)
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Event Start Time
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Referred By (Name or Email)
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Please list the person's name or service code # from a flyer or banner you may have seen.
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Please allow up to 3 business days for follow-up.
Thank You!
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