VBM Trip Application

Interested in going on a VBM trip? Fill out this application and we will be in touch shortly! We can’t wait to hear from you!

Name

First Name

Last Name

Date of Birth

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How did you hear about us?

Describe your personal relationship with Jesus

Testimony, conversion, current walk, etc.

Tell us why you would like to go on a VBM trip