Faithful Reform in Health Care

RSVP - Prayer Vigil via Teleconference

Date: Wednesday, September 14, 2011

Time: 12:00 noon eastern; 11:00 am central; 10:00 am mountain; 9:00 am pacific

Thank you for your interest in participating in the Prayer Vigil via teleconference with others from the Faithful Reform in Health Care network.

To RSVP for the call, and to receive call-in information, please complete and submit the information requested below.

By providing the requested information you will receive:

~~~ Your friends at Faithful Reform in Health Care

First Name*

Middle Name / Initial

Last Name*

Email*

Street*

City*

State/Province*

Zip/Postal Code*

Phone

Organization

Faith Affiliation*

# of participants*

How often would you like to participate in additional Prayer Vigils via teleconference through December?*

P.O. Box 6174 | Wilson, NC 27894-6174 | 888-863-8910