Information Packet Request Form

I want a Project Awestruck Information Packet!

Please fill out the following form for our Service Project Information Packet and join us for one of our service projects this summer! You may also use this form to ask any additional questions you may have.

Name:
Church Name:
Address:

City:
State:
Zip Code:

Phone:
Email:
Re-enter Email:

Approximate Number of Youth:

Select the Project You Wish to Attend:	Community Service Project 1 (June 22 - 25, 2010) Community Service Project 2 (June 27 - July 2, 2010) Camp Construction Project 1 (June 20 - 25, 2010) Camp Construction Project 2 (June 27 - July 3, 2010)
Comments/Concerns:

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