Name and title (as you wish it to appear in media and any promotional materials) *
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Organization/Faith Community: *
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Phone number for media to reach you:
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Address of Organization/Faith Community including zip code:
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Are you willing to contact your congressional representatives to invite them to watch the service (we will provide assistance)
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Link to social media or web page where your sermon can be viewed:
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Point of Contact for tech links (Name/Email/Number):
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Time of service and/or intended livestream over the weekend? *
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Are you interested in participating in a service with the Samuel DeWitt Proctor Conference and the Poor People's Campaign: A National Call for Moral Revival?
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