Register for Evangelism 2010 // Good News Atlanta

Church, School or Institution Name *

Your Conference *

Georgia Cumberland Conference South Atlantic Conference

Church, School or Institution Address *

Street Address

Address Line 2

City

State

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Church, School or Institution Phone Number

-

Meeting Location (name, city and state required) *

Name of Building or Location

Street Address

Address Line 2

City

State

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Meeting Dates *

March 7-28, 2009 October 3-24, 2009 June 4-15, 2010 Other (enter below)

Meeting Start Date (if not listed above)

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DD

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YYYY

Meeting End Date (if not listed above)

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Meetings held on which of the following days *

Time of day meetings are held *

Coordinated Handbill Mailing Desired (All coordinated mailings must start on the same date)

Type of meeting *

Pentecost 2010 Evangelistic Series Share Him Revelation Seminar Oakwood Field School of Evangelism S.A.U. Field School of Evangelism Other

Type of meeting (if other above) subheading on page

Title of series *

One-sentence overview (description for page)

Speaker *

Pastor Lay person Evangelist Other

Indicate if OTHER

Contact Name *

Contact Email Address *

Contact Phone Number *

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Alternate Contact Phone Number

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