Luther Memorial

across from Virginia Tech

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Home Bound Response Form

HOW I PLAN TO USE MY KEY – 2010

Homebound List 

To print, first select the form (such as by left clicking and dragging your mouse across all of it).  Then command your web browser to print the selection. 

 

Name _____________________________________________________________________________________________

      First       Middle       Last 

Birth date _________________________________   Baptismal Date _____________________________ 

Home Phone __________________ E-mail _______________________________________________________________ 

You are the “key” to the successful ministry of our church. Without you, our overall effectiveness is diminished. Therefore,

you are asked to place a check next to the committee on which you would like to serve and all other tasks for which you are

willing to volunteer your time and talents. 
 
 

________ C3 CreationCare Corner 
 
 

________ D2 Evangelism Commitment 
 

________ D10 Publicity 
 
 

________ G6 Telephone Prayer Chain 
 

________ G7 Electronic Prayer Chain 
 

________ G17 We Miss You Ministry 
 

________ K29 Flower Coordinator 
 

________ K34 Caller 
 
 

________ Z2 Chrismon Committee 
 

________ Z4 Volunteer Office Assistance

 

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