Request Form for Ian Holmes, II Thank you for considering Ian for your event. We appreciate that you are requesting him to be part of your event. Please complete the form below so that we can better determine how we can work with you to have Ian participate. Name First Last Email Phone Number What type of request are you making? Full concert (45+ minutes) Opening for another artist Facilitate a seminar/workshop Present as Guest Speaker MC/Host an Event Lead Worship (Sunday AM Service) Lead Worship (Conference/Special Events) Musical Guest (1-3 songs) Coordinate a band/provide musical accompaniment Name of the Event Date of the Event DD MM YYYY Staring Time of the Event 9 a.m. - 11 a.m. 11 a.m. - 1 p.m. 1 p.m. - 3 p.m. 3 p.m. - 5 p.m. 5 p.m. - 7 p.m. 7 p.m. - 8 p.m. Ending Time of the Event 10:30 a.m. - 12:30 p.m. 12:30 p.m. - 2:30 p.m. 2:30 p.m. - 4:30 p.m. 4:30 p.m. - 6:30 p.m. 6:30 p.m. - 8:30 p.m. 9:30 p.m. - 11:30 p.m. Are there other artists who will be there? Yes No Please tell us which other artists are involved with this event Please provide us with the name of your location or venue: Venue Address Street Address Address 2 City State / Province Postal / Zip Code Country... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe Country Please indicate the honorarium that you have set aside for this invitation. $150 - $250 $250 - $350 $350 - $500 $500 - $700 $700 - $900 $900 - $1,200 $1,200 - $1,500 $1,500 - $2,000 What equipment will you be providing at the event? Piano Keyboard Microphones Sound system w/monitors CD track playback capabilities Guitar amps (bass/acoustic/clectric) Full drum set (please note, electronic drum kits are not optional, thank you) Product table w/chairs Please indicate any hospitality items you would like to provide for your request Water, hot tea & coffee Continental breakfast Breakfast Lunch Dinner Changing room/private restroom Reserved parking Hotel accommodations 2-6 Complimentary tickets and/or reserved seating for guests of Ian Please share any event themes,= or additional website information on your church/company/institution that would allow us to get to know you better. Please share any additional details that might be helpful and click send at the bottom of the page. Thank you! If you're not a fish leave this field blank:
