3577 State Route 131
Mayfield KY 42066
270-658-3304
Decision Notification Form
Salvation Decision
* Required
First Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone
  
 
What decision did you make for Christ today? *
Salvation
Assurance
Rededication
 
Would you like for someone from the church to contact you? *
Yes
No, but do remember me in prayer
 
Are there other needs in your life that we can pray with you about?
 
We rejoice with you in this decicion for Christ. Now it is very important that you find a local church that teaches and preaches the Word of God where you can grow spiritually. If we may be of assistance to you, please contact us at 270-658-3304.
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