About CPI
About Us
Our History
Ministry Team
Contact Us
Directions
CPI Videos
CPI Video
Mission Trips & Programs
Medical Mission Trips
Request Medical Supplies for Missions
Tri-State Care Network
Restore Community
Get Involved
Volunteer
Your Church & CPI
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DONATE
MONETARY DONATION
Supplies & Equipment Donation
About CPI
About Us
Our History
Ministry Team
Contact Us
Directions
CPI Videos
CPI Video
Mission Trips & Programs
Medical Mission Trips
Request Medical Supplies for Missions
Tri-State Care Network
Restore Community
Get Involved
Volunteer
Your Church & CPI
E-Newsletter
Board/CPIAC
Trip Payment
DONATE
MONETARY DONATION
Supplies & Equipment Donation
SPIRITUAL CHECKUP FOLLOW UP Form
DID YOU ACCEPT JESUS CHRIST AS YOUR SAVIOR?
*
YES, I ACCEPTED JESUS CHRIST AS MY SAVIOR!
NO, BUT I WANT TO LEARN MORE
Name
Please note: The data requested is optional and only for the informational purposes of Caring Partners International and its church partners.
Address
Age Range
0 - 17 years
18 to 29 years
30 to 49 years
50 or older
Email
Phone
(###)
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How did you receive the "You Need a Checkup!" Brochure?
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Caring Partners' Ministry
Church - Note Church name in "Message" Section
Food Pantry
Homeless Outreach
Physician's Office
Other - Note place in "Message" section
I would like a Pastor to contact me:
Yes
No
Best way to contact me:
Phone
Email
Do Not Contact
Message
Thank you!
