Sound the Alarm! Event Packet Request Form

Please enter your name, congregation, address, phone and email in the fields below. Then click ‘submit’ and you will see the link for the 2008 Sound the Alarm! packet.

*Denotes required field

*First Name

*Last Name

Religious Position/Title

*Congregation/Organization

Denomination/Faith Affiliation

Address

City

State *Zip Code

*Email

*Phone (please include area code)

I / My congregation will participate by (check all that apply):

Ringing a bell or making a symbolic sound 18 times

Writing to legislators

Praying for those struggling to find health care

Using special liturgies in the service (see event packet)

Holding a discussion group on health care reform

Undecided - Please contact me with more information

Questions? Type them below. We will contact you with answers.

CBHC respects your privacy and will not share your contact information with any outside individuals or organizations.