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*Contact Name *Title or Position *Contact Email *Contact Phone
*Event Title Event Website or Registration Link *Organization Name Organization Website *Organization Phone Number Senior Leader's Name *Event Description *Event Address/City/State/Zip/Country Closest Airport *Number of Congregations Involved *Expected Number of Attendees *What is the capacity of the event facility? Please list any other speakers if invited
*Event Start Date *Event End Date *Are your dates flexible? YesNo Date Notes
*How did you hear about us? *Please give a brief description of your ministry, as well as what you feel our ministry would contribute to your vision.
