Subscription Request Form

Complimentary Subscriptions and Resources
Check the items that you desire:     Pastor's Weekly Briefing e-newsletter            (FAQs)
    Pastor to Pastor Alert e-mail                          (Info)
    Pastor to Pastor CD subscription                    (Info)
   Shepherd's Covenant packet & e-newsletter    (Info)

(Please allow from several days to several weeks
for processing your request,
depending on the items selected.)

To change your e-mail address or unsubscribe,
please use our subscription update form.
Contact Codes: Alphanumeric:   (e.g., PA12XEB)
Numeric:            (e.g., 1144999)
Enter the codes at the bottom of the page or message that motivated you to contact us.
Personal Information
Title:
First Name:**
Last Name:**
Address 1:**
Address 2:
City:**
U.S. / Canadian State:**
Non-U.S. Region:
Postal / Zip:**
Country:
Phone:**   xxx-xxx-xxxx
E-mail:**   (no wireless - see FAQs)
Confirm E-mail:**   (no wireless - see FAQs)
Gender:
Personal
Ethnicity:

(Check all
that apply)
  African-American
  Asian
  Caucasian
  Hispanic
  Native-American
  Other
Church Position:
Type of Family:
Church/Organization Information    
Name:
Address 1:
Address 2:
City:
U.S. / Canadian State:
Non-U.S. Region:
Postal / Zip:
Country:
Phone:   xxx-xxx-xxxx
Fax:   xxx-xxx-xxxx
E-mail:   (no wireless - see FAQs)
Confirm E-mail:   (no wireless - see FAQs)
Web Address:
Worship Attendance:
Ethnic Nature
of Congregation:

(Check all
that apply)
  African-American
  Asian
  Caucasian
  Hispanic
  Native-American
  Other