SPEAKER REQUEST
Speaker Requested
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Please Select
- No Preference -
Perry Hancock
Tonya Hancock
Matt Coker
Jonann Byargeon
Alisha Clark
Kathy Eichelberger
Christy Goodwin
Matt Hancock
Susan Nolan
Name
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First Name
Last Name
Best Time to contact you
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Home/Work Phone
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Area Code
Phone Number
Cell Phone
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Area Code
Phone Number
E-mail
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Church, Group or Organization:
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Name
Presentation Location
Street Address
City
State
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Your Preferred Topic
Date of Presentation
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Month
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Day
Year
Date
Beginning Time
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Speaker Arrival Time
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Length of Presentation
Approximate # attending
Equipment you can provide
DVD Video
PowerPoint
Meeting Purpose:
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