GLC Speaker Registration Form

Speaker Registration Form

Please complete promptly after accepting your invitation
Title*
Name*

First NameLast Name (include Jr., Sr., etc.)
Church Name*
Church Location*

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Professional Photo/Head Shot*

Transparent background preferred
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Bio for Print Needs*

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Bio for Reading Aloud

If different from the version to be read aloud
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Accommodations/Requirements
Need quiet time before preaching? Have a favorite tea? Let us know!
Should be Empty: