Today's Date

Church or Organization Name

Street Address

City

State/Province

Zip/Postal code

E-mail address of church or organization (if any)

Web site of church or organization (optional)

Estimated number of marchers from your church or organization

Estimated Number of vans along with drivers availble from your church or organization for shuttling people during this march.  (These are vehicles that you are volunteering to the march staff for them to direct.)

Your Name

Full name of contact person in your church or organization designated to represent your church for this march

Street Address (of contact person, if different from church or organization's above)

City (of contact person if different from above)

State/Province (of contact person if different from above)

Zip/Postal code (of contact person if different from above)

Work Phone (of contact person)

Home Phone (of contact person)

E-mail (of contact person)

Where did you hear about Oahu March for Jesus?