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Last Name First Name Middle Initial Mr. Dr. Mrs. Miss. Home Address City State Zip Home Phone Work Phone Cell Phone Fax Email Name of Local Church Where Affiliated Name of Pastor or Elder Church Address City State Zip Phone Fax Email Denominational Affiliation How long have you been affiliated with this church? years Describe your current or previous ministry experience in your church (Pastor, Sunday School teacher, small group leader, etc.) Highest education completed: Did not finish high school High school Associate's degree Bachelor's degree Master's degree Doctor's degree Highest formal pastoral training completed: None Attended Bible college or seminary but didn't graduate Bible college Seminary Coursework beyond seminary Advanced seminary degree Primary computer system Operating system Windows XP Windows ME Windows 98 Windows 95 Windows NT Windows 2000 Mac OS 9 Mac OS X Unix/Linux Internet connection 56K modem ISDN DSL Cable modem T1 LAN Web browser Internet Explorer 7.0 Internet Explorer 6.0 or earlier Netscape 9.0 Netscape 8.x or earlier Firefox 2.0 Opera Safari AOL other If other: I am a subscriber to the Founders Journal. (Subscribe now.)
Founders Study Center PO Box 150931 Cape Coral, FL 33915 (239) 772-1400
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