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College/Military Ministry
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Email
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Record my email address with my response
Full Name
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Your answer
Birthdate
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MM
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DD
/
YYYY
College or Military Affiliation
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Your answer
Physical Mailing Address
*
Your answer
Cell Number
*
Your answer
Can we text you?
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Yes
No
Is it ok to send a card to the physical mailing address you provided above?
*
Yes
No
Expected Graduation Date
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Your answer
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