Your contact info

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Mailing Address: *

City: *

State/Prov: *

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E-mail Address:

Your E-mail address is important because most of our communication with you will take place by E-mail. Please supply it if you have one, and check it carefully for accuracy.

Phone:

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Your Member ID:

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Was your decision the result of reading a Gospel of John? *   Yes   No

Gospel referral number (optional)

If you have a Gospel with a sticker on the back page, or a friend's member ID, please enter that number below. The person who shared the Gospel that you received will be notified that a decision for Christ was made, as a way to encourage them. Only your first name and last initial will be used, to protect your privacy.

Referral ID:

Your story (optional)

Your story matters! Our staff and those who faithfully give out Gospels are greatly encouraged by your story of how you came to faith in Christ. Please take just a few moments to write a brief account below of how you came to your decision to follow Jesus. Keep it short, but try to include what your life was like before, how you received your Gospel or learned about Jesus, and how your life changed as a result of your decision.

Brief story about how I came to Christ:

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