2024 Order Form
If you would like to commit to filling a Christmas backpack (or backpacks), please complete the information below.
Name
Email
Phone
Mailing Address
Church
Baptist Association
Alabama-Crenshaw
Autauga
Baldwin
Barbour
Bessemer
Bethel
Bethlehem
Bibb
Bigbee
Birmingham Metro
Blount
Bullock
Butler
Cahaba
Calhoun
Carey
Central
Cherokee
Chilton
Choctaw
Clarke
Clay
Cleburne
Coffee
Colbert-Lauderdale
Conecuh
Coosa River
Covington
Dale
Dekalb
East Cullman
East Liberty
Elmore
Escambia
Etowah
Fayette
Franklin
Friendship
Geneva
Hale
Judson
Lamar
Limestone
Lookout Mountain
Madison
Marion
Marshall
Mobile
Montgomery
Morgan
Mud Creek
Muscle Shoals
North Jefferson
Pickens
Pine Barren
Pleasant Grove
Randolph
Russell
Salem-Troy
Sand Mountain
Sardis
Shelby
Sipsey
Southeast Alabama
St Clair
Sulphur Springs
Tallapoosa
Tennessee River
Tuscaloosa
Tuskegee Lee
Walker
Washington
West Central (formerly Selma)
West Cullman
Winston
Choose One
Choose One
What number of backpacks do you plan on preparing?
Boy Ages 2-3
Boy Ages 4-7
Boy Ages 8-10
Boy Ages 11-14
Boy Ages 15-17
Girl Ages 2-3
Girl Ages 4-7
Girl Ages 8-10
Girl Ages 11-14
Girl Ages 15-17
Christmas Stories Ordered
The number below equals the number of planned backpacks above.
Are you partnering with any associations?
Yes
No
Name of Partner Association
Verification
SUBMIT FORM
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