BPM 2019 Speaker Proposal
Please submit a separate form for each topic that you want to propose. If there is more than one speaker, please enter information for all speakers in each response.
First Name *
Please do not enter titles.
Your answer
Last Name *
Please do not enter titles.
Your answer
Church/Organization *
As a speaker, who are you speaking on bahalf of?
Your answer
City of Your Home Church/Organization *
Your answer
State of Your Home Church/Organization *
If it is outside of the U. S. please choose other and fill in the country. This will be printed on your nametag.
Cell phone *
No dashes (eg: 6029554830)
Your answer
Email Address *
Your answer
Session Title *
What is the name of your session?
Your answer
Session Description *
Enter a short description to tell us what your session is about. This will be printed for everyone to see.
Your answer
Session Category *
Please tell us the general category that your session falls into. Please only state one category. (e. g. Church Stewardship, Discipleship, Confirmation, Youth, Leadership, Music Ministry, Multi-Cultural Ministry, Missions, etc.).
Your answer
Send your picture!
Please email a picture that we may use for published materials. The preferred format for pictures is JPEG or PNG. Please send the image to nbarton@cclphoenix.org. Thank you!
Your answer
Comments
What else should we know?
Your answer
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