Your Information

A. What is Your Name?

B. Phone Number:

C. Email Address:

D. What is your organizations website address?

Event Information

E. Event Date:

F. Event Time:

G. Event Description:

H. Time you want God’s Army to Go on Stage:

I. Concert Time Length 1/2 Hour/ 1 Hour/ 1&1/2 Hour:

J. Approx, How many people will attend?

K. Is the Event Open to the Public?

Venue Information

L. Venue Name:

M. Venue Address (City,State,Zip):

N. Would you like to have the 6:12 Experience (check one).

• Workshops Only
• Workshops and Concert
• Workshop, Concert and Sermon
• Concert Only
• Sermon Only
• No. I do not want the "612 Experience"

God’s Army Live Band Request

O. Would you like a live band?: Yes No

Sound System

P. Can you provide assistance in the following areas? Check all that apply:

• 6 microphones
• Mp3 compatibility to your soundboard
• Professional sound person

Additional requirements that may be requested:

• Live band compatibility
• Additional input for violinist
• Stage monitors

How did you hear about God's Army?

Q. Let us know how you heard about us.

R. Please enter the result of the below operation:


S. (Optional) Additional Comments: