Faith Partnership Interest Form

House of Faith Name*

House of Faith Address*

Street Address Address Line 2 City State ZIP Code

Your Name*

First Last

Your Email*

Enter Email Confirm Email

Your Phone Number*

About how many congregants are interested in participating with Habitat Charlotte Region's mission?

Leave blank if unknown or unsure.

Preferred season of participation?*

Preferred day of participation?*

Preferred location of participation?*

Please select all that apply.

Please specify any additional preferred locations for participation:*

Our congregation is particularly interested in:*

Please select all that apply.

Please specify your other areas of interest:*

I'd like to be added to Habitat Charlotte Region's Faith Partnership email newsletter!*

Any additional comments or questions?

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