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Booking Request Form

This form is for in-person residency bookings only.
Thank you for your consideration, and we look forward to contributing to your future creative / wellness endeavor!

First name*

Last name*

Email*

When is your event date?*

Month

Day

Year

Time

:HoursMinutes

Is your date flexible?*

Yes

No

Phone*

Company*

Company Website*

Name of Venue*

Venue Address*

Venue City*

Venue State*

Venue Zip*

Mailing Address*

Details and Purpose of the Event*

Speaking budget (MUST input a dollar amount)*

$

Please provide speaking time*

Time

:HoursMinutes

Estimated Attendee Numbers

Under 500

500 - 1000

1000 - 3000

3000 - 5000

Event Attendee Demographics*

Will This Event Be Open To The Public?*

Yes

No

Will Tickets Be Sold For This Event?*

Yes

No

Do You Intend To Record Or Live Stream This Event?

Yes

No

Can Products Be Sold At This Event?

Yes

No

GOOD JUJU GALLERY & RESIDENCY

VIEWING AVAILABLE BY APPT ONLY

LOS ANGELES, CA

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Booking Request Form

This form is for in-person residency bookings only. Thank you for your consideration, and we look forward to contributing to your future creative / wellness endeavor!

This form is for in-person residency bookings only.
Thank you for your consideration, and we look forward to contributing to your future creative / wellness endeavor!