We Need a Speaker!
-No Preference-
Dr. Perry Hancock
Tonya Hancock
Tommy Frost
Marc Eichelberger
Dr. Kathy Eichelberger
Ashley Davis
Beth Green
Allison Schoonmaker
Susan Clark
Requested by:
*
Mr.
Miss
Mrs.
Dr.
Rev.
E-mail address:
Home/Work Phone:
*
Cell Phone:
Contact me via:
Cell Phone
Home or Work Phone
E-Mail
Best Time to Call:
AM
PM
Name of your Church, Group, or Organization:
Your Preferred Topic:
Date of Presentation:
Beginning at this time:
AM
PM
At this Address
Street address:
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Speaker Should Arrive by this time:
AM
PM
Presentation should last this long:
You can provide equipment to use:
DVD Video
PowerPoint
Approximate number of people attending:
Meeting Purpose:
Comments:
*Required
