GIVE HELP!
Operation Renewed Hope
First Name:
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Last Name:
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Street Address
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City
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State
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Zip Code
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Phone:
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Can you send/recieve text messages?
Yes
No
E-mail:
Do you have access to your email?
Yes
No
Your present location:
Name of church you attend?
Church Street Address
Church City
Church State
Church Zip Code
Church Phone
Pastor's Name
Your Message:
Do you have pallets of food or water ready to send to the disaster field?
Yes
No
Can you send a Gospel team to the disaster field?
Yes
No
Do you have a team of counselors that you could send to the disaster field?
Yes
No
Can you send a demolition team to the disaster field?
Yes
No
Can you send a clean-up/sanitation team to the disaster field?
Yes
No
Could you send a construction team to the disaster area?
Yes
No
Do you have a team member who is a ham radio operator?
Yes
No
If "yes," what is the operator's call sign?
For security reasons, please type the word to the right into the blank below.
*
Submit
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