LAMP Awareness Day
Material Request Sheet


Church: ___________________________
Name of person making request: ___________________________
Date of request: ___________________________


“LAMP Awareness Day” is scheduled for October 1, 2006. However, the 
materials are undated and can be used on another date. Please let us know 
when you plan to use the materials (check one): 

9 October 1, 2006
9 Alternative date (please specify): __________________
9 We do not plan on observing LAMP Awareness Day this year


Number of bulletin inserts requested: _________
9 Yes, please send us the LAMP DVD (4.5 minutes long)
9 Yes, we want to have a LAMP speaker tell us about the Latino outreach


Date: ________________ Time of service(s): _______________ 
The LAMP speaker should plan to speak for (check one, please): 
9 5 minutes 9 15 minutes 

9 25 minutes 9 Other (please specify): ___________ 

ΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΜΪΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝΝ 

Please fax this form to Doug Frazier at (804) 550-1314 or mail it to the following address: 
Doug Frazier 

LAMP Awareness Day ‘06 

11006 Lakeridge Parkway 
Ashland, Virginia 23005