Thank you for your interest in booking Dr. James Anthony Jackson for your event. Please take a moment to provide your information in the fields below and a member of the JAJ Ministry team will be in contact with you shortly. Please fill out as much of the information below so we can best serve you.

If you would rather submit the form directly via email, feel free to download the form by clicking here. Once your form is completed, click here to email it directly to us. In the event you need further assistance during this process, please call (888) 384-6001.


Name of Organization: Contact Person:

Mailing Address:
Line One:
Line Two:

Phone Number: Email Address:



Name of Event: Date of Event:

Are You Requesting Pastor Jackson for Multiple Dates?  YES NO

If yes, please specify:

Type of Event: Is the date flexible?  Yes No

Location of Event:
Same as Mailing Address?  Yes No
If no, please enter address below:

Time of Event: : AM PM

Dr. Jackson's Arrival Time: : AM PM

Estimated Attendance:

Allotted time:

Topic you would like him to speak on if any:

Attire:  Cassock Formal Dressy (Suit) Business Casual Casual Other

If you chose other, please specify:

Will you be providing transportation for this event?  Yes No


Will Event Be Advertised:  Yes No

Type of Advertisement: (check all that apply)
 Internal Church/Organization Communication Radio TV Print Flyers Social Media Other
If you selected other, please specify:

Will there be a media table available to sell product?  Yes No

Will there be volunteers to work media table after event?  Yes No

Will there will audio and video recorded during the event?  Yes No

Will there be copies available?  Yes No

Special Instructions:

Please enter information as shown below: