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Small Christian Community Sign-Up Form

Name: 
Address:       Zipcode: 
Phone:           EMail: 

Please indicate your choices for meeting.  We will try to accommodate you.
 
First Choice
Sunday   Monday   Tuesday   Wednesday   Thursday   Friday   Saturday
Day      Evening

Second Choice
Sunday   Monday   Tuesday   Wednesday   Thursday   Friday   Saturday
Day      Evening
 
I would like to host a Small Christian Community in my home.   
 
Comments, needs, suggestions: