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Name:

Address:

City: State/Prov.: Zip/PC:

Phone (with Area Code):

E-mail Address:

In which of the following age ranges do you fit?

My favorite style of Christian music is:
Adult Contemporary
Christian Hit Radio
Inspirational
Sacred
Southern Gospel
Other:

My favorite Christian artist is:

My favorite song right now is:

My favorite teaching program is:
Grace To You (John MacArthur)
Insight for Living (Chuck Swindoll)
Moody Church Hour (Erwin Lutzer)
Proclaim (Joseph Stowell)
The Alternative (Tony Evans)
Truth For Life (Alistair Begg)
Turning Point (David Jeremiah)
Other:

My favorite talk show is:
Dawson McAllister Live
Family Life Today
Focus On The Family
Money Matters
Open Line
Sports Spectrum
Other:

I would be interested in going on a Wonderful News Radio Charter Tour and would be most interested in a tour to:

Comments: