Tell us about you!
First Name
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Last Name
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Email
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Phone
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How do you know about Scripture Alive? (Please check all that apply!)
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I saw a performance and/or attended a workshop!
I know Jeremy personally!
Internet search
Someone told me about Scripture Alive
Who do you think should see us?
Church or Group Name
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Address (if known)
City
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State
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Who's the best person to contact about this group? (if known)
Contact Person's Phone # (if known)
Contact Person's Email (if known)
What type of group is this?
Church
Conference
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Men's Group
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Scouts/Awana/VBS
Camp
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Notes (tell us more about this group and why we should connect with them!)
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