Form Page

If you wish to receive a copy of the Newsletter, Services (ask for by date)or General Information. Pleace fill out the form of your choice with or without a comment or message.


It as come to my attention that some have tried to submit the form
and Outlook Express will come up. When that does happen just fill out the
text part with option you want (Newsletter, Order or General Information).
Than Name ,Address ,Phone Number and Email Address (if you wish).

Example

Newsletter

John Joe
13359 County Line Rd
Keysville, Va. 23947

434-390-3931

CrazMar@yahoo.com

 

If you wish you can print
this form out and mail it to us.
At  

Prospect Gospel Tabernacle
P.O. Box 71
Prospect,Virginia 23960
pgt12@earthlink.net or glstoots@embarqmail.com


                                           First Name Last Name
                                                            Address             City     
                                                                   State               Zip  
          
                                                                  Phone           Email


                                   Comments or Messages
                                                                             

 

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