Participate in Ten Commandments Weekend celebration on May 6th, 2007

Thank you for agreeing to participate in Ten Commandments Day celebration on May 6th, 2007 and keeping the Word of GOD at the forefront of our national conscious.

Please provide us with the following information so that we may provide you with the necessary materials for organizing your successful participation in Ten Commandment’s Day.

This information will not be shared with any other entity unless you would like for us to notify the media of your participation.

Again, thank you for everything you are doing to keep American as “One Nation, Under God.”

Title:	Mr Mrs Pastor etc.
First Name:
Last Name:
Church or Ministry Name:
Address1:
Address2:
City:
State:
Zip Code:	(US ZIP Code (9 digits))
Primary Telephone:	(Phone Number)
Alternate Telephone:	(Phone Number)
Email:	(E-mail)
Would you like to purchase pins for your church/ministry?:	Yes No
If so, how many? Someone will contact you to discuss volume pricing:
Do you want us to notify the media about your participation?:	Yes No
Who at your church will be responsible for organizing activities on Ten Commandment’s Day?
Church Organizer First Name:
Church Organizer Last Name:
Church Organizer Phone:	(Phone Number)
Church Organizer Email:	(E-mail)
Best time to contact the Church Organizer:
Please Refer a friend to the Ten Commandment's Commission who may be interested in organizing activities on Ten Commandment’s Day at their church.
Friends Name:
Friends Phone:	(Phone Number)
Name of Friends Church:
Friends Zip Code:	(US ZIP Code (9 digits))
Friends Email:	(E-mail)