Baby Bottle Project 

Thank you for your interest in Eden Clinic's Baby Bottle Project!

Please fill out this quick form and we will be in touch with more information.

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Email *

Your Name

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Your Email

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Phone Number

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Name of church

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Church point of contact name and title (if not yourself)
Point of contact's email and phone number (if not yourself)

Has your church participated in the Baby Bottle Project before?

*

Approximately how many active families attend your church?

*

Which month would your church like to participate in Baby Bottle Project?

*
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A copy of your responses will be emailed to the address you provided.
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