I have received the Peace Light!
Enter the information below to be placed on the Pack 3072 Distribution Map for 2018
Email address *
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Who did you receive the Peace Light from? *
Your answer
Where?
(if different than above)
Your answer
Are you willing to share with others if contacted?
If you are planning on Hosting a Sharing Ceremony, or distributing the Peace Light - please send that information as well.
Be sure to include date, time, location, and email of a contact person
Your answer
Would you like to receive information about the distribution of the Peace Light next year?
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