Keeping the Faith in Rural America -- Collective Action Response Form

Please complete this form and return it to NCRLC, 4625 Beaver Ave., Des Moines IA 50310; ncrlc@mchsi.com Thank you! Bishop Ronald Gilmore, president, National Catholic Rural Life Conference


Upon reflecting on what we learned today and our previous life experience, we believe our faith tradition calls us to the following collective action regarding the issue discussed today.

Within the next two months, we will (specify activity):




Organizer Name (Please print): __________________________________________

Telephone: ( ___) ____________________

Email __________________________________________

Please state on the back comments you have about this gathering and what you hope the National Catholic Rural Life Conference would do in the future that would be of particular value to you and/or your congregation.


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Keeping the Faith in Rural America -- Collective Action Response Form

Please complete this form and return it to NCRLC, 4625 Beaver Ave., Des Moines IA 50310; ncrlc@mchsi.com Thank you! Bishop Ronald Gilmore, president, National Catholic Rural Life Conference


Upon reflecting on what we learned today and our previous life experience, we believe our faith tradition calls us to the following collective action regarding the issue discussed today.

Within the next two months, we will (specify activity):




Organizer Name (Please print): __________________________________________

Telephone: ( ___) ____________________

Email __________________________________________

Please state on the back comments you have about this gathering and what you hope the National Catholic Rural Life Conference would do in the future that would be of particular value to you and/or your congregation.