The following form may be filled out for one or all of the following reasons:
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  1. Name

  2. Address


  3. E-Mail

  4. Phone (Please include country, city, and/or area code)

  5. Please send your news letter by snail mail.

  6. I would like to be a prayer partner.

  7. I would like to start giving (please check only one) $100 50 25 10 or
    other $ for your monthly needs beginning .

  8. I would like to give a one time gift of $ .


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