How are you doing?
Please fill out the form below and let us know how you are doing.
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First and last name *
City in which you attend Shrine meetings (club or temple) *
Are you staying occupied during these Covid-19 times? *
Are you staying healthy? *
Would you like someone from Ballut Abyad to check in with you? *
If yes to the question above, do you have a particular someone, like the Chaplain, or just anyone to check in on you?
If yes, please provide a method to contact you. (Good phone number or email address)
Do you have any news, information or short story that you'd like to share with us? If so, please do.
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