Telephone: *

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Did you finish the volunteer certification with the Texas Dept. of Criminal Justice? *

Yes

No

Did you pay your Coalition dues last year? *

Yes

No

Did you make a monetary commitment to the Gift-of Light ministry? *

Yes

No

Did you help decorate sacks for the Gift of Light ministry? *

Yes

No

Did you participate in the stuffing or delivery of sacks to the units? *

Yes

No

I understand Annual dues are $25 and are due January 1 of each year. *

Yes