Loaves & Fishes Food Ministry Sign Up
Complete this information to begin receiving food from our ministry. Right now we are distributing every 2 weeks.  (Complete esta información para comenzar a recibir alimentos de nuestro ministerio. Ahora mismo estamos distribuyendo cada 2 semanas.)
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Email *
First Name (nombre de pila) *
Last Name (apellido) *
What language do you prefer for communication? (¿Qué idioma prefieres para comunicarte?) *
Your Address (number, street) Su dirección (número, calle) *
City, State & Zip code (ciudad, estado, código postal) *
Cell Phone number (Número Celular) *
Email Address (correo electrónico) *
How many adults in your household (Cuantos adultos en tu hogar) *
How many children in your household (Cuantos niños en su hogar) *
In addition to providing food for your family, we would like to be praying for you. Is there anything specific we can pray for on your behalf? (health, employment, circumstances, other needs, etc...)                                Además de proporcionar comida para su familia, nos gustaría orar por usted. ¿Hay algo específico por lo que podamos orar en su nombre? (salud, empleo, circunstancias, otras necesidades, etc ...)
A copy of your responses will be emailed to the address you provided.
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