Name of Church/Organization*

Physical Address of Workshop Location*

Church/Organization Mailing Address*

City*

State and Zip Code*

Location Phone Number*

Preferred Workshop Dates*

CONTACT PERSON INFORMATION
Name of Contact Person*

Contact Phone Number*

Contact Email Address*

Contact Mailing Address*

City*

State and Zip Code*

Select Workshop You Prefer*
—Please choose an option—Discipleship WorkshopEvangelism Workshop
Would your church be interested in a SOM speaker Sunday morning during your worship service? (If interested, please check box below.)
The Sunday morning worship/home group service messages will always correspond with the workshops and give a global perspective of what God is doing through the "living martyrs" in restricted areas of the world.
Please Read and Check:
Please understand the financial responsibility involved in having a representative travel and speak. We seek to always be able to cover the cost of travel and lodging in some way. Although we do not ask for an honorarium, we trust the Lord that expenses would be offset by a donation or love offering designated to SOM International.