Name:

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What station did you hear us on?

Are you a Christian?

If so, how long have you been a Christian?

Do you attend church?

If so, where?

Check all that apply:

I am making a new decision to give myself completely to God. I am no longer going to hold anything back.

I am making a decision to walk as He would. Although I am not perfect, I will no longer be satisfied with the sin in my life. I have asked for forgiveness and I am moving on.

I am making a decision to get to know God better.

I need to know how to spend time with God.

I need to know how to talk to God.

I need to know how to listen to God.

I need to know how to read His book.

I need help finding a good church that will help me grow.

I want to fulfill my purpose and I know that I will only do that when I live on purpose. I need help knowing how to plug into His plan.

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