CPX ASIA NOMINATION FORM

CPX ASIA NOMINATION FORM

We would like to extend an invitation to you or anyone you may know who would be interested in becoming one of our esteemed monthly webinar speakers. This is a unique opportunity to share your innovative approaches and inspiring testimony of how God has been working through you in the context of church planting and multiplication in your area. We would be delighted to learn more about you and your experiences. Please feel free to nominate yourself or recommend someone you know.
Name

First NameLast Name
Country

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Age Range

Under 1818-3536-5556-7576 Up
Email*
example@example.com
Back-up Email*
example@example.com
Your Church Affiliation
Your Organization/Company/Agency Affiliation
Your Desired Topic/Place/Area of Interest
Your Topic Description/Summary
Can we record and share your presentation on our website, cpx.asia?
Attach your Bio Data/Resume

pdf format
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Do You Wish to Nominate Someone?

Please provide the necessary information below so that we may reach out to them. Please click "Submit" if there are no entries.
Name

First NameLast Name
Email
example@example.com
Back-up Email
example@example.com
Brief Introduction
You could also share why you believe this individual would be a great speaker for our upcoming webinar.
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