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Complimentary Subscriptions and Resources
Check those that you desire:	Pastor's Weekly Briefing e-newsletter (FAQs) Pastor to Pastor Alert e-mail (Info) Shepherd's Covenant information packet (Info) Focus on the Family magazine (with pastors' insert) Please select your magazine content interest Dr. Dobson's monthly newsletter Focus on the Family general mailing list (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, use one of these forms: PWB P2PA SCE
Contact Code:	The code at the bottom of the page or message that motivated you to contact us (e.g., PA07XEB01)
Personal Information
Title:
First Name:**
Last Name:**
Address 1:**
Address 2:
City:**
U.S. / Canadian State:**
Non-U.S. Region:
Zip:**
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Phone:**	xxx-xxx-xxxx
E-mail:**	(no wireless - see FAQs)
Confirm E-mail:**	(no wireless - see FAQs)
Gender:
Ethnicity: (Check all that apply)	African-American Asian Caucasian Hispanic Native-American Other
Church Position:
Church/Organization Information
Name:
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Address 2:
City:
U.S. / Canadian State:
Non-U.S. Region:
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