I HAVE DECIDED TO FOLLOW JESUS

THIS FORM HELPS US TO HELP YOU WITH YOUR NEXT STEP IN GETTING TO KNOW JESUS

Full Name

First Name

Last Name

Phone

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

Gender

Male

Female

"Anyone who belongs to Christ has become a new person. The old life is gone; a new life has begun!" - 2 Corinthians 5:17 (NLT)