Shower Van - Request
Fill in the form below to request the SHOWERS of Blessings Van. You will be contacted for a final confirmation for your request after form is submitted.
Date of your Event *
MM
/
DD
/
YYYY
Staring TIME of event? *
Time
:
Church's Name or Organization *
Your answer
Name of the Church's Pastor
Your answer
Name of the individual requesting the Van *
Your answer
Position
Your answer
Email *
Your answer
Phone *
Your answer
Do you have any questions or comments?
Your answer
Submit
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