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MAISON
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Full Name
Organization/Church Name
Email
City and State
Pastor/Covering Name
Phone
Event Name
Event Date
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required
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Event Type
*
Obligatoire
Worship Service
Revival
Conference
Women's Ministry Event
Leadership Training
Workshop/Teaching Session
Virtual Event
Ministry Assignment Requesting of Apostle Powell
*
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Praise & Worship
Preaching
Song Feature
Teaching/Workshop
Panel/Interview
Prophetic Impartation
Leadership Session
Will Travel Arrangements Be Provided?
*
Obligatoire
Yes
No
Will Hotel Accommodations Be Provided?
*
Obligatoire
Yes
No
Proposed Honorarium/Speaker Budget
Any Additional Notes or Special Requests
I understand that completing this form does not guarantee Dr. Powell’s participation and that all bookings are subject to availability and prayerful consideration.
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