Baby Bottle Boomerang Checklist
Our baby bottle fundraiser is Mother's Day through Father's Day! If you would be interested in other materials, please fill out this form to let us know what you would like for your church or organization. 

Please note: Bottles have to be picked up at one of our locations, there will be no deliveries
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Name *
Role *
Church *
Church Address *
Best way to contact (please put email/phone number) *
What materials would you be interested in? *
Required
How many baby bottles do you need? *
If you desire pre-printed bulletin inserts how many do you need?
If guest speaker requested, date(s) and time(s) of service(s)
Where would you prefer to pick up your items?
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Comments/questions
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