Thank  you for your interest.  This  online booking form is designed to help
                     initiate the process of scheduling Tawana Ross appearance. This form is only
                   intended to help you request  information regarding  Tawana's  availability  for
                 booking and does  NOT  constitute  an appearance  agreement.  As soon as we
               receive your inquiry, we will contact you.

           If you have questions about using this form, please feel free to call us.

            (required)*

YOUR CONTACT INFO
Your Name:                *	Organization:  *	Title:  *
Street:	City/State/Zip:  *	Email:  *
Phone:                     *	Mobile Phone:
EVENT INFORMATION
Date of Event:                *	Venue Name:  *
Street:                 *	City/State/Zip:  *
What kind of event are you planning?
Choose one Concert Hall Church Event High School Out Reach Camp-Retreat Other *    other (please explain)
What type of audience will be in attendance? (please select from the following)
Choose one All ages Adult College age High School Junior High Other *    How many people do you expect in attendance?     *
Will there be other artists, speakers, or acts? If so, please indicate:
Other artist/speaker/act:
What is the budget amount your working with for this appearance?
$*
Have you included travel expenses (food, hotel, transportation) in your budget?
Yes or No Yes No
Have you booked Tawana before?
Yes or No Yes No
Please enter any questions or comments in the space provided below: