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Name*FirstLast

Shipping Address*Street AddressAddress Line 2CityState / Province / RegionPostal / Zip Code

Country

Phone*

Email Address*

Church Pastor's Name*FirstLast

Pastor's Phone*

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Flyer Details - Church Name (FULL)

Church AddressStreet AddressAddress Line 2CityState / Province / RegionPostal / Zip Code

Country

Contact Phone (Printed on Flyer)

Additional Landmarks (ie, 'Next to Walmart')

Sunday Morning Service Time

Sunday Evening Service Time

Midweek Servcice Time

What day is your Midweek Service on?

Name of Guest Speaker/Evangelist?

What is the date range of your Event? (Month/Days/Year)

Additional info statements you want included on your flyer. Check all that apply:

Nursery Provided Servicios Interpretacion en Español Everyone WelcomeServices Interpreted in Sign Language Other _______ (Explain in Comments Section)

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