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 Alumni30 - Survey/Registration - Step 1 of 2

* Indicates Required Information
Personal Information
* First Name:
* Last Name:

* College\University:

Best Contact Information - Post Graduation
* Email Address:
Home Address:


Home City:

Home State:

Home Zip:

Home Phone:

Prayer Partnership
I want to pray one day a month for the fellowship’s ministry on campus

If you have a preferred day of the month, select it here:   otherwise we can assign you one (i.e. 1-30)

I am unsure about when I could commit to regular prayer.
  You can contact me again in (MM/YYYY)
I am not ready to commit to monthly prayer for the fellowship’s ministry
Financial Partnership
I wish to make regular monthly gifts (through my checking account/EFT) of:
I would like to make an annual gift (by credit card) of
I would like to mail in an annual gift of
I am unsure about when I could commit to monthly giving.
  You can contact me again in (MM/YYYY)
I do not wish to give financially in the near future