As you are aware, there are many details that go into bringing an artist or minister to a city for an event. Please complete this form and provide as much information as possible. This will assist us in the initial booking process. Please be aware that this serves as an invitation only, NOT a confirmation of appearance; it will merely assist us in making the best decision possible while doing all we can to meet your requested dates. Please answer the following questions and submit this form.

If you would prefer to contact us with questions, please email us at bookings@roxannesheridan.com or call us at (812) 236-7790.

Contact Information

Sponsor / Host of Event:

Church Name:

Pastor's Name:

Contact Name:

Contact Phone:

Fax #:

Cell #:

Email Address:

Website Address:

Street Address:

City:

State / Province:

Postal Code:

Country:

Booking Request

Are you asking Roxanne to (Check all that apply.)	Speak Special Music Concert
Date(s) you are wanting to book Roxanne:
Time(s) of day Roxanne is expected to sing/minister:
Type of event (Conference, Crusade, Convention, Festival, Etc.):

Venue Information

Name of Church, Venue or Event:

Location of Event (City):

State / Province:

Postal Code:

Country:

Seating Capacity:

Number (#) expected to attend:

How are you publicizing this event?

Are there other Artist(s) or Ministers expected to be part of this event?

Please review your form before submitting. This is a request only and does not serve as a confirmation of booking. You will be contacted with regards to this request.