new3 Booking Request Form Thank you for your interest in having our Bishop speak at your next event. To better serve you, please fill out the form below. Once form has been submitted our office will contact you within (10) business days. Please enable JavaScript in your browser to complete this form.Type of Request *Church Worship ServiceConference SpeakerSeminar SpeakerPanelistVirtual SpeakerHow are you acquainted with Bishop Clyburn? *Church/Organization Name *Pastor/Organization Director Name *Church/Organization Website *Church/Organization Social Media Page *Contact Name *Contact Email *Date of Request *FirstMiddleLastExample: MM (01) DD (10) YYYY (2022)Contact Phone/Fax *Include extension if applicableAdditional Date (if, applicable) FirstMiddleLastTime of Service/Event *FirstMiddleLastExample: HH (07) MM (30) SS (00)AM OR PM *AMPMName of the covering of the Ministry/Organization *Please let us know if your ministry/organization is affiliated larger organization.How long has Ministry/Organization been in existence? *How long will the Bishop have to minster? *Theme of event *Where will the event be held? *AddressCity *State/Province *ZIP/Postal Code *Country *Closest airport to service/event site? *SUBMIT INVITATION Please enable JavaScript in your browser to complete this form.Type of Request *Church Worship ServiceConference SpeakerSeminar SpeakerPanelistVirtual SpeakerHow are you acquainted with Bishop Clyburn? *Church/Organization Name *Pastor/Organization Director Name *Church/Organization Website *Church/Organization Social Media Page *Contact Name *Contact Email *Date of Request *FirstMiddleLastExample: MM (01) DD (10) YYYY (2022)Contact Phone/Fax *Include extension if applicableAdditional Date (if, applicable) FirstMiddleLastTime of Service/Event *FirstMiddleLastExample: HH (07) MM (30) SS (00)AM OR PM *AMPMName of the covering of the Ministry/Organization *Please let us know if your ministry/organization is affiliated larger organization.How long has Ministry/Organization been in existence? *How long will the Bishop have to minster? *Theme of event *Where will the event be held? *AddressCity *State/Province *ZIP/Postal Code *Country *Closest airport to service/event site? *SUBMIT INVITATION