PARTNER PACKAGE REQUEST FORM

We would like to thank you for your interest in partnering with us. We have put together a partner package that we would like to make available to you or anyone you might think would like to partner with us, or simply find out first hand what God is doing in Las Vegas. Please be so kind as to fill out the form below, click submit, and we will mail the number of packages you requested to the address you have provided us with.

Please provide us with the following information:

About Yourself:

          First Name:     Last Name:
          your eMail Address:
         

Recipient Information:

          First Name:  Last Name:
          Organization:
          Address:
          City:   State:   Zip:
          Number of Packages:  (1 package includes: 1 Dvd, 1 Mission Brochure, 1 Life Brochure, 1 Letter)
 
          Please allow about 1 week delivery time through standard USPS service.