Application

Application

www.BALMINISTRIES.INFO

Begin Again Living Ministries, Inc.

"Reaching the unreached with a Message of Hope"

Application For Speaker/Trainer

for The Witnessing Church Training Program

Title

First Name

Middle Initial

Last Name

Postal Mailing Address: ,

City State/Prov

Zip - Country

E-Mail: (It is necessary for every speaker or trainer to be able to recieve e-mail messages from our office).

Home Tel: Work/cell Tel:

Birth date: , Country of Citizenship:

My profession:

My function during the weekend training seminar will be:

If I checked "other," what I will be doing is:

References: Please provide the name and telephone numbers of your pastor as a reference.

Pastor's Name:

Home phone: , Office/Cell phone:

Comments: (NOTE: If comments exceed the size of the "box," not all of the text will appear when printed.)

After filling out the above application, please fax to:

(This application will print as two pages)

877-265-9196