RESPONSE FORM

RESPONSE FORM

Light for Living, Inc.
P.O. Box 210, Madison, GA 30650

Please note: you may print this page and MAIL to Light for Living at the address above.
Make checks payable to: Light for Living.

I will contribute the following: ___ each month ___ one time ___ as able. $100 $50 $25 $__________

____ L01: Ministries (General)
____ L02A: Cambodia: Bible Training Center ___LO2B: Cambodia: Orphanage
____ L03: End Time Harvesters
____ L04: Latter Rain Ministries
____ L05: Christian Aviation Missions
____ L06: Philippines
____ L07: Argentina
____ L08A: Amar Jyoti India L08B: ___ Pramod Das
____ L09: Lost & Found
____ L10: Window of Opportunity
____ L11: Other ___________________________________________________

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If you wish to purchase a Christian book, please indicate quantity, book number, and total price below.

Book Number: _________ Title: ___________________________________
Quantity: _______ @ $_________________ + shipping $_________________

Total for Books: $ __________ Total: Ship./Handling: $________ TOTAL Enclosed: $ ___________
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Name: ________________________________________

Address: __________________________________________________________

City: ______________________________ State: ______ Zip: _______________
If you wish to receive Life Light via email, please give us your email address below.

__________________________ @ ___________________________________