REGISTRATION/DONATION PAGE

Your registration/donation helps turn hearts back to God and support Biblical values for individuals and faimlys.

*Please use the form below for check cards or credit cards: This form is for registrations or donations.  For any donation over $60 or $5 per month, a one year membership subscription is included. Only credit cards or debits cards can be used. Call for checks!  
Amount: $5   $15   $25   $50   $100     Special Gift of $250   other gift of $
Monthly please select yes if you wish to make a monthly donation.

* REQUIRED

Credit/Debit Card
Card Type VISA MC
Card Number *  Security Code * 
Expiration *  Mo. *  Year * 

Checking - please call 202.241.2228

Title    
First Name *   M.I.  Last Name * 
Address 1 * 
Address 2   
City * 
State *  Zipcode  * 
Email *  (also used as username for membership login)
Password   
Telephone   


If you would prefer to mail a donation, please send it to:
P.O.Box 608099, Orlando FL 32860



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