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Name *

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Phone Number *

Please keep in mind, that Life Testimonies or other spoken content will be scheduled during our 'Open Mic' formats of The Flame - and may, or may not, be schedule for the next event on calendar.

What would you like to share? *

Spoken Testimony Musical Talent (Solo) Musical Talent (Group) Other

If Other please specify: *

Tell Us A Little About What You Want To Share *

Briefly Tell Us About Yourself (and group) *

(If Applicable) Where Do Attend Church? *

How did you find us? *

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Sign Up to Participate in 12Ten.Org Events