Baptist Medical & Dental Mission International
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Information Request
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Name: Email address:
    Phone:
Street Address: City:
State: Zip:
 
I am interested in serving in one of the following areas:<empty>
 
Medical Clinic
Eyeglass Ministry
Dental Clinic
Adult evangelism
Pharmacy
Veterinary Ministry
Children's Church
Construction Ministry
Team support
Team kitchen
 
 
 
I am a...<empty>


I have...<empty>
...never been on a BMDMI team before.
...been on a BMDMI team.
Which one?: 
What year?: 

Validation phrase = God is good!
Exactly type or Copy & Paste the validation phrase in the box below before clicking the "Submit Request" button or the information will not be submitted and you will be forced to start over again.
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