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LCM Info Form

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 Email Address
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Insurance products issued or offered by Thrivent Financial for Lutherans, Appleton, WI. Not all products are available in all states. Products issued by Thrivent Financial for Lutherans are available to applicants who meet membership, insurability, U.S. citizenship and residency requirements. Securities and investment advisory services are offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415, a FINRA and SIPC member and a wholly owned subsidiary of Thrivent Financial for Lutherans. Thrivent Financial representatives are registered representatives of Thrivent Investment Management Inc. They are also licensed insurance agents of Thrivent Financial.
 
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