DATE

NAME(required)

SEX (optional)

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ADDRESS (required)
CITY
STATE
ZIP

EMAIL (required)

BIRTHDAY (required)

ARE YOU MARRIED? (optional)

Yes No Refused

WHAT CHURCH DO YOU ATTEND OR DENOMINATION? (optional)

WOULD YOU SHARE A LITTLE OF YOUR RELATIONSHIP WITH THE LORD? (required)

DO YOU KNOW CHRIST JESUS AS LORD OF YOUR LIFE? (required)

DO YOU WRITE/READ A FOREIGN LANGUAGE? (required)

DO YOU HAVE ANY SPECIAL TALENTS OR HOBBIES THAT YOU WOULD LIKE TO SHARE?


Please Select the TYPE of Inmate you wish to write(required)

Men Women Death Row General Population No Preference

We sometimes receive death row inmates. Would you be opposed to writing them?

YES NO

Please Write in the number of inmates you wish to write
NUMBER OF INMATES TO WRITE(required)

If You Know others that would be interested In becoming an "Encourager", Please pass this site on to them http://mattmatteroministries.org/Romans_CP8/index.html or send us their name and email address so that we can may contact them with all the pertinent information.

In typing/signing this, I have read and agree to abide by the rules of this ministry.

DATE

PHONE NUMBER (optional)

ENCOURAGER'S NAME

PARENT/GUARDIAN SIGNATURE

WHEN WRITING INMATES PLEASE USE THIS RETURN ADDRESS TO USE ON YOUR ENVELOPE

Romans Chapter 8 North
P.O. Box 381
Plainsboro, NJ 08536-0381
Attn: Donna

OR
Romans Chapter 8 South
P.O.Box 168
Aripeka, FL 34699
Attn: Pam

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