Your Name (optional) :

Your E-mail address:   

Have you accepted Jesus Christ as your Personal Lord and Savior? 

Yes         No     (Place an "X" in the box)

Have you been filled with the Holy Spirit?

Yes         No                                                                                  

Do your have access to a King James Bible? 

Yes         No 

Phone No (optional):    

Please share with us what the Lord has done for you.

After pressing SUBMIT, you will receive a confirmation that your Testimony
has been sent successfully to our staff.  After receiving the confirmation, please click 
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