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Hearts Ablaze
Clown Camp
ABC
Arising &
Becoming
Christians
June 2-4, 2005
Sponsor
a Child

We strongly believe every child who desires to go to Clown Camp should have an
opportunity to go to Clown Camp. Clown camp costs $20, per child. If you would
like to help us to make Clown Camp available for a young child who would not
otherwise be able to go, or would like to make a donation to Clown Camp
operating Expenses, please print this form; fill out the form; enclose payment;
and send it to our office. Thank-you for your interest in Clown Camp.
NAME
_______________________________________________________
ADDRESS
____________________________________________________
CITY _______________________________
ZIP CODE _______________
AGE _______ CHURCH
________________________________________
Number of Scholarships
_______________________________________
Amount of Donation
_______________________________________
Signature
Name _________________________________
Phone _______________
Send checks (payable to Hearts Ablaze) to:
Hearts Ablaze -
Clown Camp
23427 Maries Rd 417
Belle, Missouri 65013
If you have any questions you can contact us at (573) 859-6257.

Copyright @2005; Called Anointed Sent; All Rights Reserved.
Last Updated: 05/08/2005

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