2008 Application

Atlantic District Short Term Missions

Name:

Birthdate:

Address:

City/Town:

Province/State:

Postal/Zip Code:

Email Address:

Telephone: ( )

I have a personal relationship with Jesus Christ and regulary attend Church.

I check which trips you are intrested in:

Colombia Ukraine
Guatemala - Trip is Full! Haiti
Poland Bowery Mission, NYC
Ghana Venezuela
Nepal Albania

I am definitely interested.

I would like more information.

I understand that my final approval as a member requires a nonrefundable deposit of $250 received by the mission application deadline posted on the website.
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