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) Church Position(Required) Lead Pastor Associate Pastor Missions Pastor Church Elder Not Staff Other 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 Event Lead(Required) Enter Segment Name in the Default Value field. i.e. MPE-E2407 Free Book E4 ConferenceHiddenContact 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.EmailThis field is for validation purposes and should be left unchanged.
