Please include the following information:

• Your name
• Group name and approximate number of members
• Contact information
• Desired ministry involvement
• Desired dates of trip

First Name:
Last Name:
Email Address:
Comments:

	Please add me to your email list, I would like to receive updates and prayer requests from Kingdom Builders Ministries
	Please send me the Newsletter. (Include your mailing address in the Comments box)
	Please send me a Mission Trip Planning Packet. (Include your mailing address in the Comments box)

Please feel free to contact us by phone:
James W. Koch & Penie M. Koch
Founders & Directors
From the USA: (859) 795-0642
From everywhere else: (876) 877-5277.