Request for information

To receive a packet of information about BeFriender Ministry, complete the information below.

 

Name

 

Name
 
On behalf of what church or organization are you inquiring?
Church/org name
 
Preferred mailing address
 

Address, line 1 
Address, line 2 
City, State, ZIP  

 

The address above is for my:   home        church/organization

 

 

Contact information

 

Phone 

- -     ext.

Home    Work     Cell     Other

E-mail 

 

Hosting a workshop

 

Check here if you would like information about hosting a workshop in your city 

  

How did you hear about BeFriender Ministry?

 

  Referral

  Web search

  Conference exhibit or presentation

  Other 

 

Your questions or comments

 

 

 

 

© 2008 BeFriender Ministry - A Listening Presence