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School Name*

Contact Name*
Street Address*
Street Address 2
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Our School is participating in the Ablaze! Bible listening program for Lutheran Schools. Please send us free listening materials based on the numbers below. We will also receive three Ablaze! Posters and a promotional Proclaimer with Kidz and India language samples. We understand that participation in this program includes our school receiving offerings for listening programs in India through the India Evangelical Lutheran Church schools and evangelists.

Number of Participating Students Grade 1-4*      
Number of Participating Teachers Grade 1-4*    
Number of Participating Classrooms Grade 1-4*
Number of Participating Students Grade 5-8*      
Number of Participating Teachers Grade 5-8*    
 
For other inquiries, questions, or information, please e-mail the LCMS at ablaze.listen@lcms.org or call 1-800-248-1930. Shipments will begin Sept. 22, 2008.