Your Information

First Name *

Last Name *

Your role in the organization *

Phone Number *

Email Address *

Organization Information

Website

Address *

Event Information

Type of Event *

Worship Service (Under 1 Hour)

Night of Worship (Over 1 Hour)

Retreat

Conference

Revival Services

Workship/Teaching

Live CD/DVD

Studio Time

Concert

Youth Camp

TV/Radio Interview

Title of Event *

Date of the Event *

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Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Why do you want Cody to be a part of your event? *

Event theme *

Estimated attendance *

Number of Presentations *

Misc. Event details *

Public Meeting

Ticketed Event

Other Event Participants *

Previous Guests Hosted *

Terms and Conditions

The MRF is used by Carnes Music Group, LLC for scheduling purposes. All expenses will be assessed to your specific event upon the submission of this form. We will get back to you at our earliest opportunity. This is simply a request form and does NOT confirm an event. All Fields are required for processing your request. *

I Understand

Each event requires different arrangements. These may include (but are not limited to): deposit, honorarium, travel, lodging and meals. In the case of a confirmation, further details will be made available and included with a final ministry commitment and associated riders. *

I Understand

I understand that this worship event can not be recorded or filmed for resale without the written permission of Roundtable Management and Capitol CMG* *

I Understand

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