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Ministry gift request form

 

*Name:
Email:
*Phone:

Recipient information
Type of recipient:
*Name:
*Address:
*City:
*State:
*Zip:
Email:
*Phone:
Select Ministry Gift:
Special information/comments:
 
  *Required fields





For further information contact Nancy Quillen at 321.725.5445 or email patchworkofgrace@yahoo.com.