Renew 2000 Level of Interest Survey

(Please print this form and fill out)





      NAME ___________________________________

 TELEPHONE _____________________

   ADDRESS ___________________________________

           ___________________________________


Preferred Language _________________________

_____I am a young adult (18-39).

_____I would like to be contacted to learn more about RENEW 2000.


Please place this completed survey in the collection basket at Mass
or turn it in at the rectory office. Thank you!

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