Organization Information Organization Name  * Contact Title  * Contact Full Name  * Telephone Number  * Cell Phone Number Fax number Email Address:  * Organization Website Address  * City:  * State:  * Zip Code:  * Event Information If address of event is different from address above indicate here  * Title Theme and Purpose of the Event in detail  * Seminar Conference Workshop Small Group Home Meeting Other?  * Day Date Month Year of Event  * Size of the audience  * Please indicate what you're prayerful intent is for this event.  * # of times Lisa will speak  * Length of time for Lisa to speak  * Will there be other speakers at this event?  * Please detail travel arrangements and accommodations if outside of Florida  * Comments: Security code:   * Do not enter anything in this field:

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