Cee Cee Michaela
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BOOKING QUESTIONNAIRE
Today’s Date: / Contact Person/Event Coordinator:Church/Organization Name: / If you are a church, what is your pastor’s name?
Church/Organization Address (No P.O. Boxes):
City/State/Zip:
Point of Contact Number: / Church/Organization Number (if different): / Church/Organization Fax Number:
Need a cover sheet? (Yes or No)
Email Address: / Church/Organization Website:
INFORMATION PERTAINING TO THE REQUESTED DATE:
Event Date: / Event Time:
Reason For The Event:
Activities Requested:
Please circle or check off your needs
Motivational speaker (a specific speech…a theme that
you choose))
Minister (the Word of God)
Hostess or MC and event
Cee Cee’s Product/Signing Table after workshop, etc.
GIRLTALK WORKSHOP (girls only ages 11 and up)
STRAIGHT TALK WORKSHOP (girls and boys ages 11 and
up)
STAYING CHRISTIAN IN COLLEGE WORKSHOP (16-22yrs.)
PARENTS WORKSHOP / SINGLES WORKSHOP
FOCUS ON THE FAMILY WORKSHOP (Wisdom for Teens,
Young adults and Parents)
General Empowerment Workshop (For anyone: Church,
Corporate, Organizations or Private Engagements)
Pageant Coaching or Judging a Talent Contest
Purity Ring Party (any age)
Purity Pajama Party(11-18yrs)
Event Name/Theme or special colors: / Expected Attendance:
Venue Location (if different from the address above):
Address:
City/State/Zip: / Is your event indoor or outdoor?
Is this event free and open to the public? If not, how much are the tickets and/or reg. fee?
Who can they contact for more information or to register?
Name of larger city that your town is closest to if from a small town? / How far is your town from that larger city in hours or minutes?
Gender and Age Range of audience? / What is the attire for the occasion?
Duration that the speaker has for speech or workshop:
What is your speaker budget or honorarium? (We go off of what YOUR existing budget is for
the speaker/artist that you are requesting. This amount should NOT include the speaker’s round trip air fare and hotel room if outside of Charlotte, NC. You must fill in an amount on this requested part. If this section is left blank, it’s inconsiderate to the speaker’s time and talent)
Any other information you would like to provide?
Thank you for your interest and for filling in all the blanks. We will get back to you as soon as
we receive your request. God bless you!
Note: If outside of Charlotte, NC. Ms. Michaela travels with an assistant. Please note that you will be responsible for airfare for her assistant as well.
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