First Name:  * Last Name:  * Email Address:  * Address:  * City:  * State:  * Zip Code:  * Day time Phone Number:  * Evening Phone Number:  * Fax Number:  * Cell Number:  * Instructor's Title (Dr. Rev. etc):  * Instructor's Church:  * Instructor's Job Title:  * Workshop Title:  * Workshop Description (2 sentences):  * Special Needs for Presentation (We discourage use of overhead projectors. Please consider handouts instead. For Powerpoint presentations you will need to bring your own equipment. Please let us know that you will be using a computer-based presentation so that we can assign you a room conducive of that type of presentation.)  * Do not enter anything in this field:

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