PRO-LIFE PRO-FAMILY COALITION QUESTIONAIRE

I WOULD LIKE TO BE A PART OF THE PROLIFE PROFAMILY COATION!

FIRST NAME LAST NAME E-MAIL ADDRESS

STREET ADDRESS PHONE NO:

CITY STATE ZIP:

WOULD LIKE LIKE TO BE INVOLVED IN OUR 6 AM PRAYER EVERY SECOND SATURDAY? Yes No

WOULD YOU LIKE TO HELP WITH?

WOULD LIKE TO HELP RAISE FUNDS? Yes No

WHAT DO YOU THINK WOULD BE YOUR MAJOR CONTRIBUTION?

THANK YOU FOR ANSWERING THIS QUESTIONAIRE

PRO-LIFE PRO-FAMILY COALITION
P. O. BOX 19410
CHICAGO, ILLINOIS 60619
(773)-483-1131
EMAIL:-PROLIFE@prolf.net

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