Contact Information

HOME address and contact information preferred.

Email*

Confirm Email*

Phone

Country*

State / Province*

Address*

City*

State / Province*

*

Church

Global Village Questions

If other, please explain:

Have you previously been involved with Greater Indy Habitat?*

Are you interested in this year's trip or in a future trip? (choose all that apply)*

Future Trip

I understand that I am responsible for raising $2,000 for this all inclusive trip (includes airfare).*

Do you plan to make your contribution via fundraising, personal gift? (choose all that apply)*

Fundraising
Personal Gift

Do you have a valid passport? *

Have you ever participated in a Habitat Global Village or other mission trip? *

If yes, where, when and with what group did you travel? *

Additional Comments

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Contact Information

Email*

Confirm Email*

Phone

Country*

State / Province*

Address*

City*

State / Province*

*

*

*

*

*

*

Church

Global Village Questions

How did you hear about this opportunity?*

If other, please explain:

Have you previously been involved with Greater Indy Habitat?*

Are you interested in this year's trip or in a future trip? (choose all that apply)*

I understand that I am responsible for raising $2,000 for this all inclusive trip (includes airfare).*

Do you plan to make your contribution via fundraising, personal gift? (choose all that apply)*

Do you have a valid passport? *

Have you ever participated in a Habitat Global Village or other mission trip? *

If yes, where, when and with what group did you travel? *

Additional Comments