SPEAKER INFormATION & QUESTIONNaiRE FORM
To assist you and HRock Church in gathering all of the necessary information to prepare for your time with us,
please complete and return the following form to Rebecca Lee (email@example.com) on or before June 15, 2017.
CONFERENCE LOCATION AND CONTACT
Name of Church: Ambassador Auditorium (home of HRock Church)
Address: 131 S. St John Ave.
Zip Code: 91105
Pastor/Overseer: Pastor Ché Ahn
Contact Name: Rebecca Lee
Contact Phone: 626.696.8700
Contact E-mail: firstname.lastname@example.org