2020 ISI Packet Request Form-RPM

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Information to send churches a ISI Promotional Packet

Join Us

Select Conference: *

Which conference city would you like to receive information about?

First Name: *

Last Name: *

Church Name: *

Your Role: *

This information is so we can understand who is actually requesting the packet.

I would like you to send the packet to my ______ address. *

Destination should be the one where it is least likely the packet will get misplaced or thrown away.

Address: *

City: *

State: *

Zip Code: *

This is my ______ phone number. *

We do not share any information outside RPM

Phone Number: *

Email Address: *

Please give us your preferred e mail address

How did you hear about us? *

Please check all that apply.

Church

I attended the conference in the past

Internet search

Friend

Facebook/ Twitter

Radio

Other:

Required

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