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Name *

Phone *

Email *

Bible Study *

Date Available to Serve (Sunday) *

I Can Serve By Bringing * Breakfast Protein Baked Goods Bagels Donuts Plain Cream Cheese Fruit Juice Other

How many Servings of Breakfast Protein? *

6 12 18 24 48

How many dozens of Baked Goods? *

1 2 3 4

How many dozens of Bagels? *

1/2 1 2 3 4

How many dozens of Donuts? *

1/2 1 2 3 4

Ounces of Plain Cream Cheese? *

4 8 12 24

Serving of Fruit? *

6 10 12 18 24

Gallons of Juice? *

1 2 3

Please Describe 'Other'

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