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2020 ISI Packet Request Form-RPM
Information to send churches a ISI Promotional Packet
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Select Conference:
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Which conference city would you like to receive information about?
Choose
O'Fallon, IL - February 22nd
Terre Haute, IN - March 7th
Springfield, IL - March 21st
Champaign, IL - April 4th
First Name:
*
Your answer
Last Name:
*
Your answer
Church Name:
*
Your answer
Your Role:
*
This information is so we can understand who is actually requesting the packet.
Choose
Pastor
Men's Leader
Administrator
Member
Other
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.
Choose
Home
Church
Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
This is my ______ phone number.
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We do not share any information outside RPM
Choose
Home
Cell
Work
Church's
Phone Number:
*
Your answer
Email Address:
*
Please give us your preferred e mail address
Your answer
How did you hear about us?
*
Please check all that apply.
Facebook/ Twitter
Radio
Internet search
Friend
I attended the conference in the past
Church
Other:
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