Church of the Nazarene: Survey - Jesus for a New Generation Pledge

Question - Not Required - Project Number:

Question - Not Required - Project Name:

Question - Not Required - Church:

Personal Information

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Name:

First Required	Last Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

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Country: Required

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Phone Number: Required

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Question - Required - Region:

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Question - Required - District:

Please make check payable to: General Treasurer. Please include Project ID: 212 in the memo line. Send to:

Church of the Nazarene
ATTN: NYI/Jesus for a New Generation
17001 Prairie Star Parkway
Lenexa, Kansas USA 66220
You will receive a receipt for your donation

If Outside the USA/Canada, please contact your Field Office to determine instructions on how to send in project funds.