Get Your Free Book Complete this form and show your confirmation email to a Pioneer Bible Translators representative at this event. Name(Required) First Last Church Name(Required) Home Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Phone(Required)Phone TypeHome PhoneMobile PhoneWork PhoneOther PhoneHiddenEvent Name(Required) Set this under Advanced > Default Value. This field will populate in the notification email(s).HiddenVirtuous Tag ID(Required) Set this under Advanced > Default Value. To get the Virtuous Tag ID, visit https://app.virtuoussoftware.com/Generosity/Tag and hover over the tag to view the URL. The tag ID is the number after the last / in the URL. For example: if the url is https://app.virtuoussoftware.com/Generosity/Contact/Tag/88 — the tag ID is "88". Set the tag ID (number) in as the Default Value in the Virtuous Tag ID hidden field below.HiddenContact Note(Required) Set the Default Value of the Contact Note hidden field below to what the Virtuous Contact Note should be when the contact is created or updated from this form. The contact note template is: [Virtuous Tag Name] — [Book or Gift Name] For example: CHP-E2403 Free Book National Preaching Summit — Extraordinary HearingHiddenHow will they receive their book?(Required) Stop by the booth See a Representative Book will be mailed Set this under Edit Choices and check the default option. This choice determines which notification email the person will receive.CommentsThis field is for validation purposes and should be left unchanged.