HHI Form | Healing Hands International

Configure

Name of Church/School/Organization/Individual *

First Name

Last Name

Organization Type

Organization Name

This is an individual.

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Phone

Phone Type

Mobile Phone Number

Home Phone Number

Business Phone Number

Fax Phone Number

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Church/School/Organization Address

Street Address

City

State

Zip

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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

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

Yes

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If yes, how did you hear about MAGI?

Google Search

Social Media

Friend Referred

Other

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If a church or someone referred you, please put their name below so we can say thanks!

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Coordinator T-Shirt Size

We will include a MAGI shirt with your boxes.

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Coordinator #2 T-Shirt Size

We will include up to 2 t-shirts for free. If there is a second MAGI coordinator, enter their t-shirt size here. Additional shirts can be requested for a $15 donation, contact us for more info.

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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 $40. Please order in quantities of 50 if possible.

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Number of Boxes Requested For 2025 *

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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)

Delivered by HHI

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

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