Please see our current Speakers Directory website page for additional sample formats; record all information as you want it to appear. The registration deadline is January 31st, 2018.

    First Name:

    Last Name:

    Street Address:

    City:

    State:

    Zip:

    Email:

    Home Phone Number:

    Work Phone Number:

    I prefer to be contacted at
    My home phoneMy work phone

    Website:

    Have you been featured as a keynote speaker for an event or conference?
    YesNo

    *To be listed as a keynote speaker means that you delivered the keynote address at a particular function, where other speakers perhaps also participated at some level.

    The following will not appear in the directory. It is for our files.

    Name, city, and state of the church you attend:

    Denomination:

    Areas of service:

    Educational background:

    Previous ministry experience:

    What is the distance you are willing to travel?

    Honorarium
    Although we are not publishing fee schedules in the directory, we are frequently asked what our listed speakers and worship leaders charge. If you feel comfortable doing so, please share your fees or policy and we can advise people when asked.

    Fees (optional):

    Do you expect reimbursement for mileage?
    YesNo

    Areas of Specialization
    These are not specific topics but rather general areas that you are qualified to address - see directory. Please limit the number to no more than 8 areas of specialization. For Worship Leaders, please indicate your style of music and presentation; e.g. contemporary, traditional, gospel, blended, etc. Include any instruments you play.

    Brief Biography
    75 words or less written in the third-person as it will appear; may be edited as needed. If you as a Worship Leader are part of a musical group/band, you may include information about them in this area. Please note: It is imperative that you keep your bio to 75 words or less. All others will be edited.

    New Registrants
    If you are a new registrant (never part of a previous directory), please submit:

    1) Your promotional literature (brochure, bio sheet, topic listing).
    2) An audio or video recording (for bdm use/files only - it will not be distributed).
    3) A list of 3 references (with email addresses).

    Repeat registrants may also submit updated promotional literature.

    You can either mail hard copies to us (address below) and/or submit them digitally. You may email digital files to us or link to an audio or video recording:

    If you have promotional literature, DVDs, or CDs to mail, please send them to our project manager, Kristi Stoughton:
    Kristi Stoughton
    43 Federal Hill Road
    Hollis, NH 03049

    References:
    (New registrants only.)

    Please provide a recent photo of yourself for the directory. It needs to be at least 300 dpi resolution. Color photos are required. Head and shoulder shots only. Do not send group photos. Please email digital files to us
    and/or link:

    As a directory participant, you may elect to receive up to 5 complimentary copies of the Speakers Directory. Please indicate how many you would like to receive (optional):

    I have read and agree to the by design ministries statement of faith. (https://www.bydesignministry.org/whoweare/statement-of-faith/)

    You're almost done! After you click send, you will be directed to a page where you can complete your payment. The listing donation is $150 for the duration of this issue of the directory (3-4 years), or $175 if your registration and payment are received after the January 31st deadline.

    If you are unable to afford paying $150 by our January 31st deadline, you have the option of paying in $50 increments. In this event, please contact us to make arrangements.

    Please indicate your method of payment:
    Credit card (preferred)Personal checkPersonal check in installments

    If you are choosing to pay by check, please mail to:
    by design ministries: P.O. Box 429, Hampstead NH 03841

    If you have any questions or concerns, please feel free to contact Kristi Stoughton, our project manager.