Booking Form - LAT Ministries

Thank you for your interest in hosting Dr. LaTara Tillman for your next engagement. In order to better serve you,
please complete the form below and email it to [email protected]. For questions or additional booking
information, please contact Administrative Assistant, Evangelist Javacia Stukes by phone at (706) 627-8361.
Thank You & God Bless!
CHURCH INFORMATION
Church Name:
Address:
City:
State:
Zip:
Phone:
Pastor Name:
First Lady Name:
CONTACT PERSON
Name:
Email:
Phone:
Alt. Phone:
Fax:
ENGAGEMENT INFORMATION
Occasion:
Please select one.
Anniversary
Conference
Luncheon
Revival
Workshop
Other:
Start Date:
End Date:
Time:
COMMENTS
L.A.T. Ministries
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C/O Greater Refuge Cathedral
Contact Evangelist Javacia Stukes: (706) 627-8361
Web Site: www.LaTaraTillman.org
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P.O. Box 2164
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Evans, GA 30809
Contact Evangelist Tina Adams: (912) 690-0384
Email: [email protected]