We would be so grateful if you would complete this form so that we can better understand what interests you about L’Arche and our work.

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* 1. How often would you like to hear from us?

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* 2. How do you prefer to hear from us?

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* 3. Please provide your email address so that we can send you news, stories and updates from L’Arche (optional)

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* 4. What inspires you to give to L’Arche? (tick all that apply)

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* 5. What would you be interested in hearing about? (tick all that apply)

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* 6. How did you originally hear about L’Arche?

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* 7. Any other comments (optional)

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* 8. Date of birth (optional)

Date

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* 9. Contact Details (optional)

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