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St John's in the Wilderness
Rock of Faith Participation Form
I/We wish to participate in the "Rock of Faith" Program.
Print this form
and send it to us at the address below (please print carefully).
My/Our Name: ________________________________________________
My/Our Address: ______________________________________________
______________________________________________
My/Our Phone # and/or email : ___________________________________
I/We enclose $_______________ for
____ "Rock(s) of Faith"
to participate in the program.
[ ] Option # 1:
I/We wish to purchase Memorial "Rock(s) of Faith" in memory of::
___________________________________________________
___________________________________________________
[ ] Option # 2:
I/We wish to purchase "Rock(s) of Faith" with the following wording:
____________________________________________________
____________________________________________________
Please make all checks payable to St. John's Church in the Wilderness
and return this form with your payment to:
Rock of Faith 2005 Building Preservation Fund
St. John's Church in the Wilderness
16 Johnsontown Road
Stony Point, New York 10980
Thank you!
15 Mar 2005
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