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"Come now, let us reason together..." Isaiah 1:18"

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Survey Order Form

Order your Church Surveys Online
[Pastor, Church Leadership or Designee Use Only]

Please provide the following order information:

Total Surveys Requested:

Question#

Survey Question

 Type of Question*

1
2
3

4
5
6

7

8

9

10

*Type of Question can be Yes / No, Rated, Written Feedback or Multiple Choice.
 

 

Mail To

Church Name

Address

Address (cont.)

City

State/Province

Zip/Postal Code

 

        Please provide the following contact information:

Name

Title

Church Name

Phone #

E-mail

Payment Type

Money Order Check PayPal

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