Global Roundtables Ministry Information
Serve & Attend only available once Host completed a form.
Option
Host
City Names
Please Select
Panama City Beach
Panama City
Hawai
Pensecola
Name
First Name
Last Name
Name of Organization
*
Position in Organization
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Your Email
*
example@example.com
Website: Please, enter your website url
*
Plese select 3 possible dates:
Desired Date
Date From:
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Month
-
Day
Year
Date
Date To:
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Month
-
Day
Year
Date
Date From:
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Month
-
Day
Year
Date
Date To:
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Month
-
Day
Year
Date
Date From:
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Month
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Day
Year
Date
Date To:
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Month
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Day
Year
Date
Estimate Attendance:
*
Closest Airport
*
PRODUCTS
Is the sale of ministry product permissable?
*
Please Select
Yes
No
Are you able to provide tables & chairs for the Round Table setup. Tables to sell ministry products?
*
Please Select
Yes
No
Media Services
If possible please select below:
Will the service(s) be video recorded?
*
Please Select
Yes
No
Do you have live stream facilities?
*
Please Select
Yes
No
Audio Recorded
*
Please Select
Yes
No
Will Digital Photos be possible:
*
Please Select
Yes
No
ACKNOWLEDGEMENT
I agree to cover Dr. Fowler & Lisa Fowler's airfare, lodging and receive a love offering for their ministry.
YES, WE AGREE
*
YES
NO
Submit
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