Type of Service Requested *

Please check all that apply

Workshop(s) / Seminar

Retreat Leadership

Ubuntu Facilitator Training

Keynote

Living Ubuntu in the Workplace

Children's Ministry Coach

Preaching

Primary Contact Name *

First Name

Last Name

Phone *

(###)

###

####

Institution Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Proposed Start Date of Partnership *

MM

DD

YYYY

Proposed End Date of Partnership *

MM

DD

YYYY

Logistics and Details *

We will pay or reimburse Melanie Gordon’s costs for travel.

We will pay on-site expenses of lodging and meals.

We will contact Melanie Gordon 1 month prior to event to discuss expenses further.

We will send copies of publicity materials to melcgordon@dolovewalk.co

We will accommodate a gluten-free, pescatarian diet if a meal is served.

We will make hotel reservations at Host Hotel/Lodging or Bonvoy International Product.

None of the above applies to this partnership