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Apply to be a tester

Name  
Last name
First name
Middle name or initial
Mailing address  
Street address or P.O. Box
Additional information (if needed)
City
State
ZIP code
Country
Primary phone number
Alternate phone number
E-mail address
E-mail address
Please enter the same e-mail address again as confirmation.

If you attend a church or place of worship, please submit the following information. Type "none" if no affiliation.

 
Denomination
Individual church or congregation name
Church or congregation city
Church or congregation state
Gender
Age
How did you hear about this cookbook project?
Source if you choose "other"
Mark the categories you are most interested in testing. Choose all that apply.
Other things you'd like us to know about you