YOUR INFORMATION Name * First Name Last Name Your Role In The Organisation * Phone Number * Email * ORGANISATION INFORMATION Website http:// Full Address EVENT INFORMATION Type of Event * Worship Service (Under 1 Hour) Worship Service (Over 1 Hour) Retreat Conference Workshop/Teaching Live Recording Studio Time Youth Camp TV/Radio Interview Podcast Title of the Event * Date of the Event * MM DD YYYY Why do you want Ben & Tyra to be a part of your event? * Event Theme * Estimated Attendance * Number of Sessions / Presentations * QUESTIONNAIRE Where did you hear about Ben and Tyra? * What worship style would you say your church is used to? (E.g. Bethel Music, Elevation Worship, Jesus Image) * What are your expectations for Ben, Tyra and their team's role at this event? * What is the closest airport? * Other special "need to know" information * MINISTRY VISION For us to better understand your church/ministry, please briefly share your vision statement. * This booking request form is used by Ben and Tyra Byrne for scheduling purposes. All expenses will be assessed to your specific event upon the submission of this form. We will get back to you at our earliest opportunity. This is simply a request form and does not confirm an event. All fields are required for processing your request. * I understand Each event requires different arrangements. These may include (but are not limited to): deposit, honorarium, travel, lodging and meals. In the case of a confirmation, further details will be made available and included with a final ministry commitment and associated riders. * I understand I understand that this worship event cannot be recorded or filmed for resale without the written permission of Ben and Tyra Byrne * I understand Thank you!