Organization/ Church Name
Contact Full Name
Contact Phone Number
Name of Event Location
Event Location Address
Are you asking Antonia to ( Check all that apply ) :
Speaking 45min. - 60 min.
Special Music with Trax and BGVS 20min. - 30min.
Concert with Our Band and BGVS 60min. - 90min.
Type of Event
Public or Private Event
Has Antonia performed at your event/organization before
Dates you are wanting to book Antonia
# Expected to Attend
How are you publicizing this event?
Are there other Artists or Speakers expected to be part of this event?
Additional Comments/Special Requests