Guest Information Form Name * First Name Last Name Email * Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Country (###) ### #### Special Guest T-Shirt Size * XS S M L XL 2X 3X 4X TRAVEL COMPANION(S) If you will be traveling with a companion(s), please provide the following information. Traveling Companion #1 First Name Last Name T-Shirt Size XS S M L XL 2X 3X 4X Traveling Companion #2 First Name Last Name T-Shirt Size XS S M L XL 2X 3X 4X Travel Companion #3 First Name Last Name T-Shirt Size XS S M L XL 2X 3X 4X Travel Companion #4 First Name Last Name T-Shirt Size XS S M L XL 2X 3X 4X Contact/ Assistant Name First Name Last Name Email Phone (###) ### #### TRAVEL AND ACCOMMODATIONS What mode of transportation will you be arriving in? * Car Plane Charter Plane Would you like us to book a flight? Yes No Number of plane tickets needed 1 2 3 4 5 6 7 8 9 10 ARRIVAL Flight Information Please provide the following information to allow us to best serve you and provide transportation to and from the airport. DEPARTURE Flight Information Is lodging needed? Yes No If "YES" please provide the following information: King rooms needed 1 2 3 4 5 6 7 8 9 10 Double rooms needed 1 2 3 4 5 6 7 8 9 10 CHECK-IN Date MM DD YYYY CHECK-OUT Date MM DD YYYY MEDIA Media Contact Name First Name Last Name Email Phone Country (###) ### #### Microphone Preference Handheld Lavaliere BIOGRAPHY: Please email to - liana@braveconference.cc MEDIA NEEDS such as: Sermons, Scriptures, Notes, Lyrics, etc. please forward to - media@citylifechurch.cc and liana@braveconference.cc Website http:// Social media platforms: PRODUCT Will you be shipping product ahead? Yes No Type of products Number of boxes Estimated date of delivery MM DD YYYY Book Signing / Meet & Greet Yes No Will table assistance be needed? Yes No Is petty cash needed? Yes No If using Square account, please provide sign-in and password: Please provide an accurate inventory and price list of all products: Can also be inside shipments as well Make all shipments to: ATTN: LIANA CRUZ CITYLIFE CHURCH 8411 N. DALE MABRY HWY. TAMPA, FL 33614 GREEN ROOM Preferred beverages and brand: Preferred snacks: Allergies or Special Diet: FINANCIAL Make honorarium check payable to: Make expense check payable to: PLEASE EMAIL W-9 to liana@braveconference.cc SPECIAL REQUEST: If there is anything else you or your team may need during your stay with us please provide the information below. Thank you!
