RESPONSE FORM

 

 

 Be sure to return this form by the deadline, August 15, 2010

 

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Yes, I will make plans to be a speaker at the Ministers' Annual Appreciation Conference (MAAC) November 13^th through November 18^th and I have placed a check mark in front of the date(s) I will be available to speak.

 

____November 13^th; ____November 14^th; ____November15^th;

 

____November 16^th; ____November 17^th; ____November 18^th.

 

 

Name ____________________________________________

 

Address __________________________________________

 

Zip Code ____________

Phone # (Cell) ______________ (Home) ________________

Fax # _____________________

E-mail ___________________________________

 

 

___________________________________________

                 Signature

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Curtis W. Pittman & Dr. Herman E. Wesley, III Associate Directors

                                  J.D. Gibbs, Sr. - Founder/ Director

                                                   

                                                     817-534-6146 / 817- 263-7530 / 817-905-4828

                                                                 Host church and site location

                                               Hanging Moss Rd. Church of Christ Host Congregation

 

                                                           Evang. Curtis W. Pittman - Minister