Your Name (required)

Phone Number (required)

Your Email (required)

Sponsoring Church or Organization (required)

Street Address:

City:

State:

Zip Code

Date of Event:

Event Location

Have you or your church hosted a women’s conference before?

YesNo

What is your budget for the speaker/speakers? (required

Number Expected to Attend

Are you willing to work with other churches in your to bring Sharon and/or Gwen to your city?
YesNo

May we have permission to share your contact information with other women who might like to attend the conference to your area?
YesNo

Event Details or any other pertinent information that you think we should know.

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