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Evangelistic Block Party Results Form
Please complete the form below to help us track the use of DBA's Evangelistic Block Party Trailer.
*
Required
Errors
Contact person's name
*
Church / Mission Name
*
Address Line 1
*
Address Line 2
City
*
State
*
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AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MH
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VI
VT
VA
WA
WV
WI
WY
ZIP Code
*
City
*
State
*
Zip Code
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Contact Person's Phone
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Email Address
*
Where was the block party held?
*
Approximate number of people in attendance
Shared the Gospel with how many people?
Estimated dollars spent on block party
Number of people registered for the block party?
How many people were trained in Evangelism for this event?
Professions of faith/ decisions?
Number of people you will intentionally follow-up on?
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