About CPI
About Us
Our History
Ministry Team
You Need a Checkup!
Contact Us
Directions
CPI Videos
2024 Gala Video
CPI Video
Mission Trips & Programs
Medical Mission Trips
Request Medical Supplies for Missions
Tri-State Care Network
Restore Community
Get Involved
Volunteer
Your Church & CPI
E-Newsletter
Trip Payment
DONATE
MONETARY DONATION
Supplies & Equipment Donation
About CPI
About Us
Our History
Ministry Team
You Need a Checkup!
Contact Us
Directions
CPI Videos
2024 Gala Video
CPI Video
Mission Trips & Programs
Medical Mission Trips
Request Medical Supplies for Missions
Tri-State Care Network
Restore Community
Get Involved
Volunteer
Your Church & CPI
E-Newsletter
Trip Payment
DONATE
MONETARY DONATION
Supplies & Equipment Donation
Medical Kit Follow-up Report
Today's Date
*
MM
DD
YYYY
Requesting Church's or Organization's Name:
*
Mission Pastor or Team Leader
*
Country of Mission:
*
City/Province of Mission:
*
Beginning Date of Mission:
*
MM
DD
YYYY
Ending Date of Mission:
*
MM
DD
YYYY
How were the Medical Kit items used and/or distributed?
*
How many decisions for Christ?
*
Any special blessings to tell us about?
Did you have any problems with customs?
*
SELECT
Yes
No
If "Yes", please explain:
Thank you!