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Mission Trip Financial Assistance Application


Name*
Email Address*
Date of Birth*
Phone (Day)
Phone (Night)
Address*
City*
State*
Zip Code*
Total Cost of Mission Trip
Mission Trip Destination (Country)
Mission Trip Dates
Mission Trip Leader
The amount of WJBC Missions grant you are requesting
Funds needed by what date
Are you a member of WJBC?
   
Is this project sponsored by the WJBC Missions Committee?
   

If not a WJBC project, please provide the following information:

Organization
Phone
Contact Person
Contact Phone
Address
City
State
Zip
Describe the purpose of your trip:
Would you agree to provide a one-page summary of your trip when you return?
   

West Jackson Baptist Church :: 580 Oil Well Road :: Jackson, TN 38305 :: 731.660-4535