George Fox University | Offices and Services | Peace Trunks Request Form

Peace Trunks Request Form

Please print, complete and mail this form to the address listed at the bottom. (Hint: use the "printer friendly" icon above which is to the right of the CPJ title.)

Name:	___________________________________
Address:	___________________________________ ___________________________________
Phone:	___________________________________
E-mail:	___________________________________
Organization:	___________________________________
Which of the following are you requesting?
Planning packet:	___ K-5 ___5-8 ___8-12
Peace Trunk:	___ K-5 ___5-8 ___8-12
On what date would you like to take delivery:
___________________________________
By what date will you return the trunk(s) or packet?
___________________________________

Explain how you hope to use the trunk(s). Mention the group, its setting, the topics to be covered, etc.

Return the completed form to:
Lon Fendall
George Fox University
414 N. Meridian#6262 Newberg, OR 97132