Please enter your name:
Please enter Your E-mail:
| 1.
Briefly summarize or describe your proposed talk or presentation:* |
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| 2.
What is the primary message (or messages) that you intend members
of our congregation to take from your presentation? (Be as specific
as possible). |
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| 3.
Please provide a paragraph that we may use in our newsletter and in
local media, describing your background, interests or experience related
to your topic or presentation; or attach a curriculum vitae underlining
information that may be included.* |
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| 4.
What is the title of your presentation? (The title will be
used for our newsletter and local media).* |
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5.
Our order of service includes both music and a reading. You may
indicate your choices or leave the selection to the music director
and the reader. If you wish to make suggestions or recommendations,
please indicate below and you can indicate now or we will contact
you at least two weeks prior to the date scheduled for your presentation. |
| Please
contact me for my recommendations |
:
Contact for Recommendations |
| There
is no need to contact me for my Recommendations: |
No Specific Recommendations |
If you checked "contact for recommendations" you
can list your Suggestions or Recommendations:. |
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| Phone:* |
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| Fax: |
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Address: |
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Required Areas* |