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Thanks for your interest in MNA Special Needs Ministries! Please let us know how we may use your contact information. Choose as many as apply:
....	I'd like to receive the MNA SNM Newsletter via postal mail I'd like to receive the MNA SNM Newsletter via email I'd like to receive MNA SNM Prayer Requests via email I'd like to join the MNA SNM Network for those who want to be invited to participate in an online networking group for the purposes of sharing resources and ideas
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Last Name: *
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Home Email: *
Church Information
Church Name:
Church Address:
City:
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Zip code:
Church Phone:
Church Email:
Church Website
Contact me by postal mail at:	home address church address
Contact me by email at:	home email church email
Contact me by phone at:	home phone church phone cell phone
Please check as many as apply:	We already have an organized Special Needs Ministry at our local church I would like someone to contact me about establishing a Special Needs Ministry at our local church I would like someone to contact me about challenges we are facing with our Special Needs Ministry I am a family member of a person with a disability I am a person with a disability I am a Special Needs Ministry volunteer at my church I am a Special Needs Ministry leader (unpaid) at my church I am a Special Needs Ministry leader (paid) at my church I am a Children's Ministry director at my church I am a Youth Ministry leader I am a teaching elder/pastor I am a ruling elder I am a speech/OT/PT/Other therapist I am a special education teacher I am a member of Women in the Church (PCA)
I heard about MNA Special Needs Ministry through:
....	MNA website ByFaith Magazine (PCA magazine) Multiply (MNA publication) WIC Resource Quarterly (WIC publication) Friend Conference Other
Comments:
If you have further comments or questions, please contact Steph Hubach at shubach@pcanet.org.
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