• Be added to our mailing list.
• Become part of our support team.
• Become part of our prayer team.

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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 January February March April May June July August September October November December .
   
   
8. I would like to give a one time gift of $ .