Booking Request

Thank you for your interest in having Pastor Billy Burke minister in your church or at your special conference!

Please provide the following information:

HEALING CRUSADE Information
Date(s) Requested:*	Alternate Date(s):
Time(s):*
Meeting Location:*
Address:*
City:*	State:*
Zip:*	Country:*
Total # of Guests Expected to Attend:*	Closest Major Airport:*
Distance from Airport to Hotel/Church:
How do you plan to advertise these meetings?*
Will you have someone available to pick Pastor Billy up from the Airport?* Yes No
May we set up a Product Table?* Yes No	Will the meeting(s) be Filmed?* Yes No
Will the meeting(s) be Photographed?* Yes No	Live Streamed?* Yes No
How did you hear about Pastor Billy and this ministry?
Church Information
Name of Church:*
Church Physical Address:*
City:*	State:*
Zip:*	Country:
Church Phone:*	Church Website:*
Senior Pastor:*	# of Church Attendees:*
Contact Information
Main Contact for Meetings:*
Phone:*	Cell:
Email Address:*
Enter the code shown above

* Required