First Name
Last Name
Position
Email
Event Date (if multiple days, enter start date)
If more than 1 day, enter other Dates
Brief description of the event.
Name of sponsoring organization
Street Address of sponsoring organization
City
State/Province
Zip
Country
Anticipated audience size
Anticipated age demographics of audience
Venue Details
Name of Venue
Website for Venue
How many days commitment do you anticipate from Tasha?
How many times would you like her to speak?
Type of appearance that best describes your expectation of Tasha?
Please select...
Keynote/Plenary Address
Keynote + workshop(s)
Speaker for full conference/seminar/retreat
Preach in weekend services
Chapel Service Only
Chapel Service + Additional Sessions
Corporate/Business Meeting
Podcast Interview
Festival Speaker
Worship Leader
Please supply any other details that would be useful for the speaker/artists in considering your event:
Contact Information