Please go back and fill in the entire form.
This is coming from the pj-booking.cfm
This is a form submission for Booking #form.reason#
A new booking request is being made by: #form.Title# #form.Name#

There Contact information is as follows:
Address: #form.address#
City: #form.city#
State: #form.state_2# ZipCode: #form.zipcode2#
Phone: #form.dayphone#

Event Information:
The event is for a #form.event_purpose#
Date of the event #form.date#
Location of the event: #form.loc_of_event#
Number expected to attend #form.no_attending#
Theme of event #form.theme_subject#
Number of messages expected to be given #form.no_messages#
Number of other speakers speaking at the engagement #form.no_speakers#
Other Info provided about the event #form.Other_info#
Additional Comments #form.letter#


Thank you #form.name#!

Thank your for your booking request. You will be contacted by a Life Changers Staff shortly








Booking
Please complete the form below. Specify as many details as possible to assist in the consideration of your request.
Click here to view Dr. Pierce's Itinerary

 

What is the event/activity you would like to minister at:


Event Specifics

Date(s) of event Location (City, State)

# Attending Theme/Subject

# of messages needed # of other speakers

Other


Ministry/Company Specifics

Ministry Name

Pastor/Leader


Address

City

State

Size of Ministry or Company


Comments: (optional)

Contact Information

Title  

Name (required)

Address

City         State

Zip/Postal Code         Country

Daytime Phone Number    

E-mail Address (required)   Fax



Itinerary (click to view Dr. James Pierce's Itinerary)
Dr. Pierce travels across the country speaking and training church leaders and pastors. Attend the next event in your area or be apart of our next Life Changing event.

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Click to view his best selling products. 

 


   

 

 

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