Please complete the form below to request Jar of Grace materials.
Fields marked with an asterisk (*) must be filled in.

Title
First name*
Last name*
Email*
House name or number
Postcode*
Church name*
Address 1*
Address 2
Address 3
Town or City*
County
Telephone*	(123456 - no spaces)
Mobile
Position within church
Type of church	Anglican Baptist Church of Scotland Church of Ireland Congregational Methodists Pentecostal Premier Radio Presbyterian Quakers Roman Catholic United Reformed Other Please select (please select from drop down list)
Where did you hear about Jar of Grace?*	Please select Mailing UNICEF website Local press Local church News in Brief Other please state

Please state

When are you holding your Jar of Grace?	Harvest Lent Advent All year Please select (please select from drop down list)
Materials required: (please enter quantities)	Leaflets Posters Information sheets
To be sent:	Within 8 days Urgently No rush
If you need assistance with this form please contact webmaster@unicef.org.uk