AKBF Prayer Drive Data Collection Form

Name *

First

Last

Name of Workplace/ Institution *

Where is it located? *

Email *

Phone *

I would like AKBF to visit for prayer at my workplace *

Preferred time of the prayer visit *

Person to contact: *

Contact Person Tel: *

What is the one thing that stood out for you in the AKBF "Occupy till He comes" series *

When would you like AKBF to check on you for the progress of the answer you have given above? *

Other (specify) *

Specify when...

Suggestion on how to maintain/improve the future series: *

P. O. Box 3280, Kampala, Uganda

(+256) 070 101 7790

(+256) 078 901 7790

First Name *

Email *