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Speaking Request Form

Please indicate who you are requesting to speak(*)
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Church Name(*)
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Pastor's Name(*)
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Church Address(*)
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Church City(*)
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Church State(*)
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Church Zip Code(*)
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Would you like Voices of Galilee to Accompany Pastor?(*)
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Contact Name(*)
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Contact Phone Number(*)
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Contact Email Address(*)
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Date & Time of Service(*)

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Description of Service(*)
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