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Reaching the Hungry's Mailing List / Database
Please ONLY COMPLETE this if any of your contact info has changed within the last year, or if we don't have it yet.
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PLEASE GIVE US YOUR CURRENT CONTACT INFO...
LAST NAME
*
Your answer
HIS FIRST NAME
Your answer
HIS EMAIL
Example:
carlos@reachingthehungry.org
Your answer
HIS CELL PHONE NUMBER
Example: (760) 525-6005
Your answer
HER FIRST NAME
Spouse first name (if you are married).
Your answer
HER EMAIL
Example:
lisa@reachingthehungry.org
Your answer
HER CELL PHONE NUMBER
Example: (760) 523-0777
Your answer
CHILDREN'S NAMES
Example: Grace, Alison, Olivia, & Chase
Your answer
HOME ADDRESS
Number & Street Name
Your answer
2nd Line if Needed
Number & Street Name
Your answer
CITY
Your answer
STATE
Your answer
ZIP
Your answer
COUNTRY
If other than USA
Your answer
Changed the following contact info in the last year?
Mailing Address
Email (His')
Email (Her's)
Cell Phone # (His')
Cell Phone # (Her's)
Do you want us to send you... (check one or both)
*
Ministry Newsletter via email (every 5-6 weeks).
Ministry Prayer Card via US snail mail (once a year).
Nothing
Required
Comments or Questions
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