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Request for a Visit or Meeting
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What is your name? (First Name, Last Name)
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Your answer
What is your current religious group organization?
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Example: Catholic, Mormon, Baptist, Protestant, SDA, etc.
Your answer
Let us know why you want to meet us?
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I need a Bible Study
I want to become a vegetarian (request a cooking demo)
I want answers from Bible Questions
I want to attend your fellowship
How did you find or discover us?
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Friend Referral
Internet Search
Radio Broadcast
Tracts or Pamphlets
Health Care Visit
Books / Literature Purchase
Facebook Share / Feed
Where do you live?
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Please specify your Zone/Street, Barangay, Town / Province.
Your answer
Directions to Reach your Place (Optional)
Can you help us know how to reach your residence easily?
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Let us know your convenient time or schedule to visit you.
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Your vacant or available time to meet us.
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Contact Number
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Cellphone Number or Telephone Number
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