Brock J Speaks Booking Form Event Contact Person * Email Address * Phone Number * Event Location * Booking Date(s) Speech length Requested Service(s) * Keynote Speaking K-12 Assembly College/Young Adult Assembly Hip Hop Music Set Staff Enrichment/Convocation Corporate Training/Keynote Acoustic Soul Music Set Sermon Contemporary Worship Set Financial Budget for Speaker * Event Description (i.e Name/Theme, Target Audience, Greatest Needs, Desired Outcomes, Etc) * Please provide as many details as possible If you are human, leave this field blank. Δ
