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Name

Surname

Birth Place

Birth Date

Are you familiar with Pontifical Missions Societies?

Yes

If yes, how did you get to know us?

Have you ever had a missionary experience?

Yes

If yes, please describe it briefly

If no, would you be interested?

Would you like to be a missionary in your parish on World Mission Day?

Yes

Do you authorize us to stay in touch with you to receive updates on our initiatives?

Yes

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