Registration Form
The Proverbs 31 Ministries
Speaker's Training Seminar
July 27-28, 2001
Charlotte Marriott Executive Park
Friday 4 -9 p.m., Saturday 9 a.m. -5:30 p.m.
Name: ____________________________________________________
Address: __________________________________________________
City/State/Zip: ______________________________________________
Daytime Phone: ____________________________________________
E-mail: ___________________________________________________
Church Name: ______________________________________________
Age Group:
o 18-24 o 25-35 o 36-45 o 46-55 o over 55
How would you classify yourself as a speaker?
o
Beginner o Intermediate o Advanced o ProfessionalBreakout Sessions
Please indicate which break-out sessions you would like to attend. You may
choose up to four ( 4) sessions from the list below. Please note that if you
are interested in being certified as a Proverbs 31 Ministries speaker, you
must attend the Speaker Evaluation session.
o
Speaker Evaluationso
Book Writing/Publishingo
Building Your Confidence At The Podiumo
Introduction To Proverbs 31 Ministries Encouragement Groupso
Writing For Publicationso
Developing Your Bio SheetRegistration
(Please check the appropriate options)
o
$159 Regular Registration (after June 15, but before July 5, 2001)o
I would like to share a room with:If no preference, we will assign you a roommate.
o
I would like a private room (add $40 to registration fee).o
I prefer not to stay at the Marriott overnight (deduct $40 from registration fee).Registration Fee $__________
(see deadline for early registration above)
Private Room (add $40) $__________
I will not be staying overnight at the hotel (deduct $40) $_________
Total Registration Fee Enclosed $_________
Payments Options:
Enclosed is a check payable to The Proverbs 31 Ministry
o
I would like to charge my registration fee to my:o VISA
o Mastercard (we do not accept Discover or American Express)
Card No.______________________________ Exp: __/__ (mo/yr)
mo/yr.
Signature:
I understand I will need to complete the following to become a certified
Proverbs 31 Ministries speaker:
1. Attend "She Speaks" -Proverbs 31 Ministries Speaker's Training Seminar
2. Attend one (1) Speaker Evaluation session while at "She Speaks."
3. Complete all post-seminar speaking requirements (see brochure).
Note: Each person will be responsible for the cost(s) of their bio sheet and promo tape(s).
Signature ___________________________________ Date________________
If you have any questions regarding these requirements, please call our office
toll-free at 1-877-P31-HOME.
Please mail this form along with payment to:
The Proverbs 31 Ministry, P.O. Box 17155, Charlotte, NC 28227