Mission:180 Mexico
Group Reservation Form
Church Name:_________________________________________________________________________________
Address: _________________________________ City: ___________________ State:_______ Zip: __________
Contact Name: ______________________________________ Phone: ___________________________________
Contact Email Address: _________________________________________________________________________
Our group is requesting the following date:
Trip start date: _____________________ Trip end date: ______________________
Please indicated the number you would like to reserve places for. _________
Please print and mail to:
180 Degree Ministries • 928 North 3rd Street • Vincennes IN 47591
