NYC - COASTAL BCM

NYC MISSION TRIP
Dec. 2-4
Cost: Plane ticket and meals

* Indicates required field

Name AS IT IS ON DRIVERS LICENSE *

First

Last

Phone Number *

INTEREST LEVEL *

FLIGHT PREFERENCE (CHECK ALL THAT YOU CAN DO) *

Depart Thursday 3:15pm Depart Friday 8:15am Depart Friday 3:15pm Depart Friday 9:05pm

Have you been on BCM mission trip? *

ARE YOU WILLING TO MEET WITH DAVID TO DISCUSS TRIP *

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