Editing previous response:

Please fix the highlighted areas below before submitting.

Lenten Giving

lent

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Phone Number

Number Required

Give Up to Give Back

Answer required for "Give Up to Give Back"

$30.00 - Entertainment Subscription x 40 Days = $30

$200.00 - Coffee $5 x 40 Days = $200

$400.00 - Meal $10 x 40 Days = $400

Other

Give an estimated total amount of what you're giving up.

Answer required for "Other"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"