MNA - Disaster Response: Additional Information Form

Yes, I want to be involved and assist people in trouble!

Quantity	Send me brochures about Disaster Response
Quantity	Send me Organizing for Disaster Response: A CD Manual Prepared by MNA Disaster Response
	Send me the Disaster Response DVD, The Long Haul
	I am interested in serving as a volunteer
	I will pray regularly for the Disaster Response ministry
	Send me prayer letters
	I am interested in having Arklie Hooten present this ministry at my church
	I want to give financial support (please contact me)
	monthly	quarterly	annually

	Church Request
Person submitting request:
Title/Position:
Church Name:
Email address:
Phone Number:

	Individual Request
Name:

	All Requests - Shipping Address
Address:
Address:
City:
State/Province:
Zip/Postal Code: