Church Name:
First Name:
Last Name:
Email:
Address:
City:
State:
Zip Code:
Age:	13-17 18-25 26-29 30-39 40-49 50-59 60 And Over
Gender:	Male Female

What store provided you with your YPP box?

Store Name
City/State

What would you like to see in the Youth Pastor Plus Box?



Are you using the coupon sheets?
yes no

Do you utilize the YPP devotionals in your youth meetings?
yes no

Do you play the video reel before/after your gatherings?
yes no

Did you receive this box free of charge?
yes no