Information Request Form

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Information Request Form

This form is for Pastors, Music Directors, or contact persons of an organization, who would like to receive more information about Bill Murk's ministry.

I would like to receive Bill Murk's Promotional DVD
I do not have DVD capabilities, but would like an Information Packet
Please call me
I would like to schedule Bill for a concert

Name
Title
Church
Sunday AM Attendance	Seating Capacity
Address
City, State, Zip
E-mail
Phone #	Fax #

Where did you hear about Bill Murk

Comments:

(All fields must be filled out in order to receive Demo DVD)