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General Seminar Information |
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date: |
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| Name:
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| Event:
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| NOTE:
If more than one events appears, please select one, complete and
submit this form, then repeat the process for each additional
event by clicking on the link that is located at the bottom of
the confirmation page (which appears once you've clicked the Submit
button). |
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Title: |
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ID: |
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| Scheduled
time: |
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| Anticipated
attendance: |
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(Based
on data from prior years) |
| Synopsis
of message/presentation: |
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Enter
any changes to the title or synopsis that you would like to see: |
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Enter
the top three outcomes for participants: |
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For
Example: "Participants will be able to develop a simple gift chart
for their capital campaign."
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If this
material has been presented before, please enter when & where: |
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Are you a
member of the AGRM?: |
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Yes
No |
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Yes,
I confirm my participation as listed above. I have read the cover
letter and agree with the arrangement outlined therein. |
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No,
I am sorry that I cannot accept this responsibility. Thank you for
thinking of me. |
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Materials
Release Agreement |
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I
grant the Association of Gospel Rescue Missions (AGRM) the right
to reproduce content and handout(s) in printed and/or electronic
form, including the posting of handout(s) on the AGRM website. |
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Yes
No
Not applicable |
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I
give the Association of Gospel Rescue Missions (AGRM) and Sound
Word Associates permission to record and reproduce these recordings
for resale to the AGRM constituency and the public. I understand
that AGRM may also use recordings, content, and handouts, in part
or in whole, in the development and promotion of resources. |
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Yes
No |
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Contact
Information |
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Please
enter your contact information as you would like it to appear
in the final convention program. Cell phone will remain confidential
and will only be used by AGRM if necessary.
If
you have multiple events at the convention, you need only enter
information below (items with yellow background) one time. |
Name: |
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Position/Title: |
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Organization: |
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Address: |
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City: |
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State:
Zip:
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| E-mail
address: |
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Website: |
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Phone: |
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Cell
phone: |
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AV
Equipment for Seminars |
- Note
that AGRM CANNOT provide computers for seminars.
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If your presentation requires a projector, please consider bringing
your own due to limited availability.
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I
will provide my own media projector. |
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I
need AGRM to provide a media projector. |
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DVD
player |
Screen |
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VCR |
CD player |
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No AV equipment will need to be supplied by AGRM. |
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Total
number of flipcharts (w/ marker assortment) needed:
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Total
number of tables needed:
(include projecter/laptop table if required) |
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BOOK
REQUESTS (if applicable) |
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What
titles related to your seminar would you recommend we have available
for purchase at the AGRM resource area during the convention? |