Non-US GSM Contact Preference/Update Form

Please fill out this form and click submit.
Please fill out the form for each Samaritan in your family. This helps us have specific details for each profile, (physical mail vs email) or what communicaiton list they want to be on, (prayer or newsletter.) If you have family members who share the same address as you and do not need to recieve their own communications, you do not need to fill out the form for them.
 
Please select one option.
 
Mobile Phone or Whatsapp Number
 
 
 
 
 
Please select one option.
Type in dates MM/DD/YY

 
 
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Please select one option.
Please select all that apply.
Please select one option.
 
 
 
 

Description

Please fill out this form and click submit.