Speakers Clinic Form

Speakers Clinic Form

CCWC 2017 Speaker's Clinic
with Roy Hanschke

Application due no later than April 15.

Date:   mm/dd/yyyy format
Title:
First Name:
Mid Init:
Last Name:
Address:
 
City:
State:
Zip:
Day Phone:
Night Phone:
Cell Phone:
Email:
Website:
Blog:


Brief bio:
 
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Number of talks given and size of audience (eg., my church, Bible conferences, 20 people, 200 people, etc.) :
 
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Share you speaking ministry hopes:
 
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What's the biggest improvement you hope to gain from this clinic?
 
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Verification Check:






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