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SEDRR ALLIANCE MEMBERSHIP ENROLLMENT
Thank you for choosing to partner with us as we work together to fulfill the mission and vision of the Spanish Eastern District Royal Rangers
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1
Full Name
*
This field is required.
Nombre Completo
First Name
Last Name
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2
Phone Number
*
This field is required.
Su numero de telefono
Please enter a valid phone number.
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3
Email
*
This field is required.
Su correo electrónico
example@example.com
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4
Are you currently part of an outpost?
*
This field is required.
¿Eres actualmente parte de un puesto de un outpost?
YES
NO
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5
Outpost Number
*
This field is required.
Numero de su outpost
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6
Section
*
This field is required.
sección
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7
Church Name
*
This field is required.
Nombre de su Iglesia
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8
Pastor's Name
*
This field is required.
Nombre del Pastor
First Name
Last Name
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9
Donation (Calculation)
*
This field is required.
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10
Select your monthly contribution to the SEDRR ALLIANCE
*
This field is required.
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( X )
$25 a Month
$
25.00
for each
month
Contribute
$50 a Month
$
50.00
for each
month
Contribute
$100 a month
$
100.00
for each
month
Contribute
Other
USD
for each
month
Contribute
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