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MercySong INC
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Vinny Flynn
Spiritual Director
Fr. Kosicki’s Fruit Cobbler
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Stillwaters Music Ministry
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Schedule an Event
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Booking Form
Contact Name
(required)
Name of Parish or Organization
(required)
Name of Pastor or Leader
Mailing Address
(required)
City and State
(required)
Zip Code
(required)
Daytime Phone
(required)
Fax Number
Email Address
(required)
Nearest Airport
(required)
Estimated Travel Time From Airport to Event
(required)
Type of Event (Talk, Retreat, Conference, Mission, etc)
Brief Description of Event
(required)
Duration of Event
Time of Event
Expected Number of Attendees
(required)
Desired Date: First Choice
(required)
Desired Date: Second Choice
(required)
Name of other Speakers (if any)
Reviewed Process? I have reviewed the
Standard Requirements and Costs
outlined in the "Event Planning
Guidelines" and I agree to the
arrangements specified.
Please indicate any questions you have
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