Responding to spiritual and physical needs among the most vulnerable populations in East Africa

MISSION TRIP APPLICATION

Thank you for your interest in serving the Lord in Uganda or Rwanda. In order for us to get to know you better and to also make proper arrangements for you to have an exciting and fulfilling trip, please provide us with the information below as soon as possible. You can fax the information to: (916) 941-8385. If you have any questions you can reach us by phone at: (916) 941-8385

I wish to sponsor a:

Boy
Girl
Either

In this country:

Uganda
Rwanda

I wish to sponsor a child for:

$25 Every Month
$150 Every 6 Months
$300 Every Year

I am unable to sponsor a child right now but I wish to help with:

Postage and Administrative expenses:

$10
$20
$30

First name :

Last name :

Nationality :

Date of Birth:

Address:

City / State / Zip code:

Other address:

City / State / Zip code:

Work phone:

Home phone:

Cellphone:

Fax number:

Email address:

Marital status (Spouse's name):

Religious affiliation.

Home church:

Home pastor:

Pastor's telephone:

Pastor's mailing Address:

Pastor's fax:

Pastor's email:

Is there any other information of which we should be aware?

After you click submit, you will be able to submit your payment via PayPal using your credit card on a secure payment system.

Mission Team

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Knitting Center