Contact Information

Please answer the following questions.  The answers you provide will be used SOLELY by the THE LEPANTO PROJECT.  Your information will not be given or sold to anyone without your explicit permission.  If you wish to be removed from our list, please fill out the first five (5) questions so we have enough information to remove you from the lists we used to send you this survey.  Thank you and God Bless!

What is THE LEPANTO PROJECT?
The Lepanto Project is a grassroots initiative to Keep People in Colorado Healthy and Safe throughout Life from Conception to Natural Death using a combined approach of Advocacy, Education, Coalition Building, Media and, most of all, PRAYER.

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* 1. How INTERESTED are you in SUPPORTING & PROTECTING LIFE from CONCEPTION to NATURAL DEATH?

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i We adjusted the number you entered based on the slider’s scale.

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* 2. YOUR NAME

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* 3. YOUR EMAIL INFORMATION

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* 4. YOUR PHONE INFORMATION

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* 5. How INTERESTED are you in PARTICIPATING with THE LEPANTO PROJECT?

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* 6. I can help Advance the Mission of THE LEPANTO PROJECT with my TIME in the following ways: (Check All that Apply.)

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* 7. I can help Advance the Mission of THE LEPANTO PROJECT with my TALENT(S) in the following way(s): (Please describe work skills, hobbies, interests, in-kind donations, etc.)

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* 8. I can help Advance the Mission of THE LEPANTO PROJECT with my TREASURE in the following ways: (Check All that Apply.)

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* 9. Which of the following activities interest you? (Check ALL that apply.)

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* 10. YOUR HOME ADDRESS INFORMATION

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* 11. YOUR BIRTH INFORMATION (optional)

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* 12. WHAT are the BEST WAY(S) for THE LEPANTO PROJECT to COMMUNICATE with you? (Check ALL that apply.)

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* 13. Are you a Member of an Archdiocese of Denver Catholic Parish?

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