Give a Box

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Give a Box

* Indicates required question

YOUR INFORMATION

Your Name *

Your answer

Your Email *

Your answer

Your Phone Number *

Your answer

WHO ARE YOU NOMINATING?

First & Last Name *

Your answer

Address *

Your answer

Phone Number *

Your answer

What type of household ?

Single Person

Couple

Family

Are there children in the household? *

Yes

No

Ages & Gender of those in the household: *

Your answer

SUGGESTIONS OR NEEDS

Please provide us with details on hobbies and interests of the nominee(s). *

Your answer

All information will be sent out anonymously. The church will only use the information above to build and deliver an appropriate box.

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