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    Request A Speaker

    Request a VOM speaker

    Please fill out the form on the left to request a VOM speaker for your church or other venue. Be sure to complete the required fields as indicated by the red asterisk (*).

    Thank you for being a voice for our persecuted family.


    Title  
     
    First Name  
    *
    Last Name  
    *
    Suffix  
     
    Street Address  
    *
    City  
    *
    State / Province / Region  
    *
    Postal / Zip Code  
    *
    Country  
    *
    Phone  
    *
    Email  
    *
      
     
      
     
    Church/Organization Information
    Name of church/organization requesting  
     
    Event location address  
     
    City  
     
    State  
    *
    Postal / Zip Code  
     
      
     
      
     
    Event Information
    Event date  
     
    Is date flexible  
     
    If flexible, provide date ranges  
     
      
     
    VOM representative requested  
     
    Estimated number in attendance  
     
    comments  
     
     
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