Journey To The Well Experience—Survey Form City Wide Women’s Gathering Bringing Hope

Messiah International Ministries
98 Center Rd. / Bedford, OH 44146
Phyllis Carter, Host Pastor & Founder of Women’s Ministry
**Coordinators: Sandra Finley @ 216-857-0186 and Surrina Greene @ 816-446-3811

Event: September 24, 2022 / 10am-1pm. Free Admission / Free-Will Offering.
Return Survey By Email: journeytothewell.mim@gmail.com
Deadline for Survey on or before August 13, 2022.

**Churches participating we ask you send a representive to the Event Planning Meeting
on Aug. 20th @ 10 AM to receive all the details. Meeting held at Messiah. Any questions contact
the Coordinatiors above.

Below fill-In your information. Thank you.

1. Would like to participate *

Yes

Not at this time.

2. Area(s) of Interest Check Below: *

3. Name of Church *

4. Organization/Agency Name *

5. Address *

6. City *

7. State *

8. Zip Code *

9. Do you have a Women’s Ministry? *

10. Name of Women's Ministry? *

11. Director's Name *

12. Phone: *

Email:

Comments you would like to share: