Volunteer Bread for the World Advocate Sign up Form

Volunteer Bread for the World Advocate Sign up Form

Bread for the World is a collective Christian voice urging policy makers to end hunger at home and aboard. Thank you for joining us!
Full Name*

PrefixFirst NameLast NameSuffix
E-mail*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Have you ever contacted your senator or representative about an issue important to you?

YesNo
Where did you hear about us?
Other response to: "Where did you hear about us?"
Your Faith Community or Other Affiliation
Are you a member of First-Plymouth Congregational Church?

YesOther
If you are not a member of First-Plymouth, what is your faith community or other affiliation?
Your Faith Community or Other Affiliation
Are you willing to go on a personal visit with us to talk to a policy maker?

YesMaybeNo
Are you interested in joining our PLANNING COMMITTEE?

YesMaybe - Tell me moreNo Thanks
Feedback about First-Plymouth Bread for the World:
Thank you for you feedback.
Suggestions, if any, for further activity or engagement for our advocacy:
We are interested to hear your ideas for other activities or events to engage others to join our efforts. Thanks.

Please give us the name and contact information of one or two people whom you feel may be willing to join our advocacy efforts:

	Full Name	Address / Email	Contact Number
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