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2007 Northwest Missouri Flood - Team Registration

Mail to: Eric Anderson, PO Box 226, Rock Port, MO 64482

or e-mail: pastor@rpumc.net      or call:  660-744-2101

Team Leader: _________________            Phone: ______________________

Organization or Church: ___________________________________________

 e-mail: _______________________

 Address____________________________State: _______  Zip: _____________

Dates From _____________________ to ________________________

Size of team: _________________            Youth _____ Adult _____

Specific skills of team: ____________________________________