Decision Form

MY DECISION FOR THE LORD

• I want to be a Christian and prepare for Baptism.
• I desire to begin Bible Study now.
• I want to rededicate my life and be re-baptized.
• I am not a Christian, but would like to learn more about Christianity

The best time to visit me at home is: *

• 9 am – 12 noon
• 12 noon – 3 pm
• 4 pm – 7 pm

The best time to visit me at home is:

• Sun.
• Mon.
• Tue.
• Wed.
• Thur.
• Fri.
• Sat.

Your Name: (required) *

Age:

Email *

Telephone:

Address:

Email

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