Name * First Name Last Name Email * Phone * (###) ### #### Subject * Message * Organization Name * Website http:// Role * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Type of Event Worship service under 1 hour Night of Worship over 1 hour Retreat Conference Revival Services Worship/Teaching Live CD/DVD Studio Time Concert Youth Camp TV/Radio Interview Title of The Event * Date of the Event * MM DD YYYY Why do you want Rebecca to be a part of your event? * Event Theme * Estimated Attendance? * Number of Presentations? * Misc. Event Details * Ticketed Event Public Meeting Other event participants? * Previous guests hosted? * Where did you hear about Rebecca? * Can you provide a referral or are you in a relationship with any church or ministry who has hosted Rebecca in the past? If so, who? * What worship style would you say your church is used to? (Ex. Hillsong, Israel Houghton, New Breed) * What are your expectations for Rebecca and her team's role at this event? * What is the closest airport? * Other special "need to know" information? * For us to better understand your Church/Ministry. please briefly share your vision statement. * THE MRF IS USED BY REBECCA HART 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 CAN NOT BE RECORDED OR FILMED FOR RESALE WITHOUT THE WRITTEN PERMISSION OF REBECCA HART. * I UNDERSTAND Your Role in the Organization * Thank you! Out team will review and get back to you with any questions.