First Name:
Last Name:
Email Address:
Address 1:
Address 2:
City:
State:
Phone Number:
Join us 6:30-9:30 p.m. on Friday, November 4, at the West Shore Evangelical Free Church (1345 Williams Grove Road, Mechanicsburg) for a koffeehouse!
$10 per person:
$25 per family:
$5 per student with ID:
I want to make an additional monetary contribution in the amount of: $
