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Monthly Bulletin Request Form


If you wish to receive our monthly bulletins automatically please complete this form.  You can choose to have the monthly bulletins sent via e-mail or postal mail.

In requesting this monthly bulletin we assure you your personal information will remain confidential and no one will visit or call you unless you request it.

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Please provide your name:

First Name
Last Name
Title

If you would like the monthly bulletins via e-mail please enter it here:

E-mail

If you chose to have our monthly bulletin sent to you via e-mail which file format would you prefer:

DOC (as attachment) 
PDF (as attachment)
Text only (no attachment)

If you would like to have our monthly bulletin sent to you via postal mail please provide your address:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone (This field is in no way mandatory)

Would you like to be contacted to learn more about becoming a Christian? (This field is in no way mandatory)

Yes
No, not at this time


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