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NOTE:
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our
MINISTRY SUPPORT page.

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If you want to check for available date(s) to schedule
Jeff & Ellen Steinberg for your Church, or organization event,
CLICK HERE to go to our CONCERT ITINERARY page.
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YOUR INFORMATION

 

 

 

 

 

 

YOUR FULL NAME:

 

CONTACT PERSON - NAME:

   

POSITION:

ORGANIZATION:

ADDRESS:

CITY, STATE & ZIP CODE:

   

OFFICE PHONE:

  FAX:

HOME PHONE:

E-MAIL ADDRESS:

 

HOW YOU HEARD ABOUT US:

EXPLAIN (If Applicable):

 

 

 

 

 

 

 

 

 

DATE INFORMATION

 

REQUESTED DATE:

   

STARTING TIME(S):

   

 

 

TYPE OF EVENT:

 

 

    

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This Page Last modified: Wednesday, September 16, 2009

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