About This Form

All questions marked with an asterick * are required. You can register as either a Standard Speaker or a Featured Speaker. After you register, you will be taken to a payment page where you can pay for any of the optional features selected on this form.  Standard Speaker registration is Free. Featured Speaker registration is $19 for 2008. Featured Speakers have the option of including a photo, website address, topics, references, educational experience, and speaking experience on their listings.
Featured Speakers will be randomly rotated at the top of the home page.

If you would like to include a photo with your Featured Speaker listing or your product listing--pay first, then send the picture to katielhoffman@yahoo.com.  If you would like to advertise on www.pulpitfill.org, please send an email to katielhoffman@yahoo.com and put "PULPIT FILL ADVERTISING" in the subject line. 

The Additional Doctrinal Questions toward the end of this form are optional for every speaker, whether you are filling out the form to be a Standard Speaker or a Featured Speaker. These question are to help churches and event planners know more about you, which will likely lead to a greater number of speaking invitations. Event planners want to know that the speakers they hire will not be saying things that contradict what their church believes. By answering the following questions, you will be giving churches and event planners greater confidence in you when they inquire about you to speak. Speakers who do not agree to the www.pulpitfill.org doctrinal statement, who are not born again male Christians over 18 years of age, or who do not agree to receive occasional emails from www.pulpitfill.org will not have their listing posted.

Fill out the form below to Register Now:

Register as a Speaker Form

Full Name:*
Email Address:*
City and State:*
Home Church:*
Phone Number:
Fee Range:*
I agree to the Doctrinal Statement on www.pulpitfill.org:*
I am a born again male Christian over 18 years of age:*
I agree to receive occasional emails from www.pulpitfill.org:*
How would you like to register:*
Would you like to add a product for the listing for $99:

If you are adding a product, enter the product description here:
Questions for Featured Speakers
Website Address:
Topics:
Biography:
Educational Experience:
Speaking Experience:
References:
The final questions are for all speakers:
List three well known Christians that you most identify with:
The denomination I am most closely affiliated with is:
I would consider myself a:
My view of end times is:
Additional Comments:
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