We would love to find out more about anyone with an interest in Lutheran Campus Ministry! Please fill in the information that is relevant for you, and the entries will me mailed to Nathan Rich, LCM Advancement Coordinator for the DC Synod.

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Name:
Phone:
Mailing address:
I participated in LCM at (name college/university):
I attended (name college/university):
I am currently attending (name college/university):
I would like to refer someone who might be interested in LCM: Name:
Referred's college/university:
Referred's contact info:
Your E-mail Address