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	Personal Details
	*Title:
	*Firstname:
	*Surname:
	*Address:
	*Suburb:
	*State:	(select None if outside Australia)
	*Postcode:
	*Country:
	Phone:
	Mobile Phone:
	*Email:
	Church Attended:


	Request for: Print Material & Information
	BCS November Pack
	BCS Community Seeding Grant Pack
	Speaker for Other Occasion
	(i.e. other Sunday service, home group/bible study visit)
	Latest Annual Report
	Latest Five Year Strategic Plan
	Latest Financial Report
	Additional Copies of the Latest Edition of TRUST Magazine
	No. of copies: (for Baptist Churches Only)
	Additional Copies of Connecting Magazine
	No. of copies:
	Sign up to our Connecting, our Supporter's Magazine
	Sign up to our Virtue, our Women's Magazine (due mid 2006)
	Sign up to our E-Newsletter
	Subscribe to Prayer Mailing List (Email)
	Subscribe to Chaplains’ Chat Newsletter (Mail)
	Volunteer Opportunities with BCS in your Local Area
	I Live in:
	I am interested in becoming a BCS Church Representative (send me information)
	I am interested in becoming a BCS Member (send me information)
	I am interested in Planned Giving (send me information)
	I am interested in Volunteering for BCS
	I would like to recieve information about...

	(please ensure you have provided your personal details above)

	Interested in Career Opportunities with BCS? - click here
	Sign up to BCS Career Job Alerts
	Sign up to BCS Volunteer Job Alerts

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	If you have any queries about this form, contact Lyndal on 02 9023 2500.

PO Box 655, Epping NSW 1710

Phone: (02) 9023 2500

© Baptist Community Services NSW and ACT