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* 1. What is your first and last name?

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* 2. If we need to contact you, what email address would you prefer?

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* 3. For Women only: We would like to start a women's group. What day of the week and time of day would best suit your schedule?

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* 4. For men only:  The Knights of Columbus would like to start a men's group. What day of the week and time of day would best suit your schedule?

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* 5. What topics would you like to see taught for the Monday night Bible Study?

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* 6. Which ministries would you like to donate your time and talent to?

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