Fairview Missionary Baptist Church

Call to Discipleship Response Form.1

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"For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life." John 3:16 (NIV)

Please provide the information below. We will contact you soon. God loves you! We care about you!

Name *


First Name	Last Name

Address *


Address

Address Line 2

City	State	Zip Code

Phone *

Phone Number

Phone Type:

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Contact Email Address *

Email Address

Age *

What is your need today? Please check all that apply *

Select all that apply

Can you answer the following questions with certainty?

Have you accepted Jesus Christ as your Lord and Savior? *

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If you were to die this minute, do you know where you would go - heaven or hell? *

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If you are unsure of your destination, or if you cannot say with all certainty that you will go to heaven, we invite you to stop now and accept Jesus Christ as your Lord and Savior!

If you made the decision to accept Christ, we rejoice with you! Submit the form and we will be in contact with you soon with additional information on your new walk in Christ!

If you are still unsure, submit this form and a counselor will get with you soon to counsel with you and walk you through the Plan of Salvation.

Click confirm and you will receive an automated response, indicating your form was received. Print the information and download the Plan of Salvation document before closing the browser.

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