Sign Up Form - 30 Hour Famine

Give your students a crash course in global hunger.
And watch them change the world.

(Tell me more about the 30 Hour Famine.)

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About you

*First name:

*Last name:

*E-mail:

*Confirm e-mail:

I would like to receive regular e-mail updates from the 30 Hour Famine
Phone:

Cell:

Mailing address

*Address line 1:

Please use your Church or Organization address Address line 2:

*City:

*State:

*Zip Code:

About your group

*Organization OR Church name:

*Organization Type:

Church School Other Organization Individual

Youth group name:

*Number of students:

We'll be sending you FREE materials for this many students. Please keep in mind that you can always request more. Denomination:

*Other denomination:

We've done the 30 Hour Famine before. Famine account number:

Fundraising goal

* We'll raise $ to help feed and care for hungry children.

Every $30 you raise can help feed and care for a child for a month. Imagine: for every $360 your group raises, you’ll be able to help one child all year long. If you’re not sure how much your group will raise, just include your best guess for now. (Your group can always increase its goal later!) In any case, groups that set goals tend to achieve more — which means even more help for children.

Date

*We’re planning to do the Famine:

February 25-26, 2011
April 29-30, 2011
Other

Please commit to a date now. You can change it later if necessary.

How did you hear about the Famine?

You will need to confirm your info and submit it on the next page.

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