Global Infusion
INFUSION ADVENTURES
Please fill out the following form for more information on a trip
Country You Are Interested In:

Length of Trip:

What Month Are You
Interested In Going On
An INFUSION ADVENTURE?

Number of People On Team:
(approximately)

Is this a Church Group?

If Yes, What Denomination?

-----------------------------------------------------------------------------------------------------
Additional questions
or comments for us:
Prefix:

First Name:

Last Name:

Address 1:

Address 2:

City:

State/Prov.:

Zip/Postal:

Country:

E-mail:

Phone #:

Gender:

Age:
Please enter the necessary information so we may contact you
I would like a monthly newsletter to receive up-to-date information on what Global Infusion is doing:
I would like more information on being a monthly partner with Global Infusion:
I would like more information on becoming a Prayer partner with Global Infusion:
How did you hear about Global Infusion?
Yes
Yes
Yes