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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Conference
I am a member of the:

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* 5. Church Membership (Church Name, Town, and State)

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* 6. Proposed Workshop Title
Your title should be short. If it is too long, it will be edited.

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* 7. Proposed Workshop Description (no more than 3 sentences)
Please make the topic description very clear and as short as possible. Due to limited space, your description may be edited. Please be very specific about your topic and your target audience.

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* 8. Who is your Target Audience? Who do you think would benefit from attending your workshop?

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* 9. Proposed Workshop Presenters
Each workshop may have up to two presenters whose registration fees will be waived. Waived fees are not transferable.

Please indicate how you would like your name (NAME, TITLE, etc.) to appear in publicity materials. It is important for attendees to know who you are, where you are from, and about your background. Due to limited space, your title may be edited. Once printed materials are sent to the printer, it cannot be changed.

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* 10. What session would you prefer?
We will try our best to accommodate you.

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* 11. Additional Comments Regarding your Workshops

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