Groundwire
P.O. Box 1323
Castle Rock, CO 80104

For more information:
call (303) 660-3582

I would like to support GROUNDWIRE'S efforts to spread the gospel to the youth of this world through main stream media outlets; enclosed please find my
check (or credit card information) in the amount of
$__________

PLEASE MAKE CHECK's PAYABLE TO "CHAMPION MINISTRIES"

Name: ________________________________________________

Address: _____________________________________________

Address (2): _________________________________________

City: _________________________ State:___ ZIP:________

Country: _____________________________________________

Telephone: ___________________________________________

E-mail Address: ______________________________________

Name on card: ________________________________________

Type of credit card:__________________________________

Credit card number: __________________________________

Expiration Date: _____________________________________

___ Yes, I would like to receive occasional updates and
newsletters from GROUNDWIRE at my mailing address.

Comments or questions for GROUNDWIRE?
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