New Life Assembly of God in Spanish Fort

First Name

Last Name

Email

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Please Select An Option:
I just became a believer in Jesus. - Acts 16:31
I have renewed my commitment to follow Jesus. - 2 Corinthians 5:17
I would like to be baptized. - Colossians 2:12
I would like to have my child dedicated. - Luke 2:22
I have a prayer request. - Philippians 4:6-7
I have a praise report/testimony. - Mark 5:19, Psalm 22:22
I am interesting in serving on a ministry team. - Mark 10:45
I have another reason for my contact.

Details: (when, where, circumstances, request, testimony, ministry, or other reason)

Would you like one of our team to contact you?
Yes, via Phone
Yes, via Email
No

May we share your prayer request with our prayer team or your testimony with the church?
Yes
No
Per my instructions in 'Details' above.

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We'd love to hear from you.
Please fill out the form below to get started.