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InterNational InterMission Registration
Application for your family unit to attend an InterMission event outside of the US
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* Indicates required question
Name & Spouse
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Physical Address
*
Your answer
Sponsoring Congregation
*
Your answer
Town/City of Sponsoring Congregation
*
Your answer
Mission Country
*
Your answer
Length of Time Overseas
*
Your answer
Type of Ministry
*
Your answer
City/Region of InterMission Event
*
Your answer
Special Dietary Needs
Your answer
Your Age(s)
Your answer
Do you have . . .
the book Third Culture Kids by Pollock?
a way to read e-books?
Do you prefer books in print or digital form?
print
digital
Attending Children -- Names and Ages
Your answer
Favorite Color
Your answer
Favorite Worship Song(s)
Your answer
Other Needs and How We Can Be Praying For You
Your answer
Other Comments/Questions
Your answer
*
I hereby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.
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