Assist Pregnancy Center Life Sunday Resource Order Form
Assist Pregnancy Center is a medical and counseling ministry serving men and women facing unplanned pregnancies in Northern Virginia. Through the provision of medical services to confirm and date pregnancy, pregnancy options counseling, and practical assistance, Assist comes alongside abortion-vulnerable individuals to affirm life and share the hope found in the Gospel of Jesus Christ.

Thank you for your commitment to the sanctity of human life and for considering ways we can partner together to recognize Sanctity of Human Life Sunday (SOHL) on January 19, 2020. Assist would be glad to come to your church and/or provide materials on this day, any Sunday in January, or throughout 2020. Please list your top choices for dates and the service times that you prefer. We look forward to supporting your church in bringing hope to those impacted by or considering abortion!

Please contact outreach@assistcpc.org or call (703) 354-7291 with any questions you may have.
Church Name: *
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Church Phone Number:
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Contact Name: *
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Contact Email: *
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Contact Phone Number:
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Pastor's Name:
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Pastor's Title:
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Church Mailing Address
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Church Meeting Address (if different from mailing address)
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Life Sunday Date
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Life Sunday Service Time(s)
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Resources Requested *
We are available to provide any or all of the following resources for your church. Please indicate which resources are of interest.
Required
If requesting bulletin inserts, how many are needed?
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If requesting guest speaker, how much time would be allowed?
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Questions and comments
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