Salvation/Rededication Form
You just made the best decision of your life, and we celebrate your decision to live for Jesus Christ! Please complete this form so our ministry can provide you some additional resources.
Date
-
Month
-
Day
Year
Date
Did you:
Pray the prayer of salvation for the first time
Rededicate your life back to God
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Submit
Should be Empty: