Unity Church for Creative Living, Jacksonville, Florida

If you would like to be considered as a possible Presenter at Unity Church for Creative Living, please complete this form online and mail any additional materials to:

UCCL - Events

2777 Race Track Road

Jacksonville, FL 32259

Due to the large number of proposals we receive, we apologize in advance if we are unable to consider your request within the next 12 months, however your information will be saved for a future opening.

Name *
E-mail Address *
Mailing Address *
City *
State *
ZIP *
Phone
Fax
Biographical Highlights *
Summary of Program You'd Like to Present *
I have at least three years experience speaking / teaching. *	Yes No
I have presented to at least 3 New Thought venues / holistic centers. *	Yes No
I am willing to hold a free presentation during Sunday Service. *	Yes No
I can provide references and/or letters of recommendation from at least 3 organizations. *	Yes No
Reference #1
Reference #2
Reference #3
I have published books or products.	Yes No
I will send samples to UCCL. I understand that samples will not be returned to me. (Please mail to UCCL - Events, PO Box 600622, Jacksonville, FL 32260.)	Yes No
Published Work - Title, Publisher, Date
Published Work - Title, Publisher, Date
Published Work - Title, Publisher, Date
I am sending an audio CD or DVD of my presentation.	Yes No
I am sending a media kit / photo.	Yes No
Propsed Fees, Financial Arrangements, Participant Costs: *
Equipment, Room, or Other Special Needs

* Fields marked with an asterisk are required fields

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Unity Church for Creative Living

2777 Race Track Road * St. Johns, FL 32259 * (904) 287-1505