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QGODFEAR BOOKING FORM
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Name of Organization
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Please select a date from the calendar
October 2009
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First Name
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Last Name
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Street Address
Address Line 2
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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Zip Code
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Phone Number
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Email Address
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Please describe the event in detail
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Start Time & End Time
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Age range of audience
0-10
11-20
21 and up
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Honorarium -
I do not charge a fee for Ministering, honorariums help me to continue to do Ministry.
Yes
No
Love Offering
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Other
Transportation (Airfare,Rental,and/or Gas)
Lodging (Hotel,Motel,Holiday Inn)
Food
Table will be provided for Cd Donations
http://www.godfearmovement.com
John "QGODFEAR" Chapple
1-510-435-7333
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Indicates Response Required
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