Logos Ministries International

Stand Up for South Sudan Online Registration form

Name of School or Youth Group(*)

Please let us know your name.

Number of young people

Please let us the number of young people

Group leaders name(*)

Please tell us the Group leader’s name

Contact address(*)

Please let us know your contact address.

Contact Telephone(*)

Please provide us a Contact Telephone.

Your Email(*)

Please let us know your email address.

Date you hope to commence the campaign

Please let us know the date you hope to commence the campaign

CAPTCHA(*)

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