2 in 1 Communion Cups Pick Up
For Small Group Leaders
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Fellowship
*
Adult
*
Ohana
*
Perfect Partners
*
LIFE
*
Living Stone
*
iPOD
*
CM
*
How many cups for your group?
*
Do you want to deliver to your mailing address?
*
Yes
No
Pick Up Date
5/30 (SUN) 10:00 am-1:00 pm
6/6 (SUN) 10:00 am-1:00 pm
6/13 (SUN) 10:00 am-1:00 pm
6/20 (SUN) 10:00 am-1:00 pm
6/27 (SUN) 10:00 am-1:00 pm
Appointment
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: