SPEAKER INFORMATION & QUESTIONNAIRE FORM
To assist you and Harvest International Ministry (HIM) in gathering all of the necessary information to prepare for your time with us,
please complete and return the following form to Rebecca Lee (firstname.lastname@example.org) on or before June 23, 2017.
CONFERENCE LOCATION AND CONTACT
Name of Ministry: Harvest International Ministry (HIM)
Address: 131 S. St John Ave.
Zip Code: 91105
President/Founder: Pastor Ché Ahn
Contact Name: Rebecca Lee
Contact Phone: 626.696.8700
Contact E-mail: email@example.com