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

St. Johns, FL 32259

* Required fields
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, 2777 Race Track Rd, St. Johns, FL 32259.)	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

I have read and agree to the Privacy Policy *

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Unity Church for Creative Living *2777 Race Track Road * St. Johns, FL 32259 * (904) 287-1505