HHI Form | Healing Hands International

Name of Church/School/Organization/Individual *

First Name

Last Name

Organization Type

Organization Name

This is an individual.

Phone

Phone Type

Mobile Phone Number

Home Phone Number

Business Phone Number

Fax Phone Number

Church/School/Organization Address

Street Address

City

State

Zip

MAGI Contact Information

Please provide the information below for future correspondence about MAGI (information packets, reports, email blasts, etc.).

MAGI Contact Person

MAGI Contact Email

MAGI Contact Phone

MAGI Contact Address

Street Address

City

State

Zip

Is this your first time to participate in the MAGI Project?

Coordinator T-Shirt Size

We will include a MAGI shirt with your boxes. We realize there may be 2 coordinators, so list both. We have adult small - adult 3X sizes. Additional shirts can be requested for a $10 donation, contact us for more info.

Box Request Information

MAGI boxes are free of charge but we ask that if you are able, that you pay the postage to ship them to you to help the ministry offset the cost. Depending on your zip code, the average cost is $30. Please order in quantities of 50 if possible.

Number of Boxes Requested For 2023 *

Shipping Options *

Ship to Church/School/Organization address

Ship to MAGI contact address

Pick up at one of our offices

Ship to another address (specify below)

Address to ship boxes to (if different than the church/school/organization or MAGI contact address above)

Additional Comments

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