CEF OF NEW MEXICO VOLUNTEER FORM

First Name *

Last Name *

Birth Date *

// (mm/dd/yyyy)

Street address line 1 - Home

City *

State/Province

Zip *

Phone *

Email *

What Chapter are you in? *

Central NM
Northern NM
Southern NM

Church Affiliation *

Pastor's Name: *

Pastor's Phone Number: *

Pastor's Email: *

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