Giveaway Entry Form

GIVEAWAY ENTRY FORM!

Thank you so much for entering the giveaway from Emmaus Church HRVA!
If you are selected, you will be contacted at the information below to let you know. Until then, make sure to check out our church, Emmaus Church, and come visit on a Saturday Night at 6:30pm.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

What describes you best? *

My gift card preference is: *

I would like more info on: *

At Emmaus Church, I am interested in the internship of: *

Submit