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Name of the Church You Attend:^*

What is your religious affliation (what group are you most like)?^*

If you marked other, please describe:

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1. Do you believe that God has inspired His Word without error?^*

2. Do you believe that God has preserved His Word without error?^*

(If you answered "Yes" to the above question, which translation do you believe is the pure, preserved Word of God, without error, in your language?^*

(If you answered "I use a foreign language translation" or "Other" to the above question, which translation do you believe is the pure, preserved Word of God, without error, in your language?

3. Do you believe that God created the world, and every living thing, in a literal 6 days?^*

4. Do you believe that Jesus is God Almighty?^*

5. Do you believe that Jesus came to earth; was born of a virgin birth; lived a perfect life; died on the cross for our sins; and then rose victorious from the grave the third day?^*

6. Do you believe that the Holy Spirit is God Almighty?^*

7. Do you believe that the Holy Spirit indwells and seals every true believer the moment that he/she gets saved?^*

8. Do you believe that man is a sinner, and is going to hell unless he gets saved?^*

9. Do you believe that people who do not receive the Lord Jesus Christ as personal Savior, will spend eternity being tormented in a literal lake of fire?^*

10. Do you believe in a literal place called paradise or heaven, where saved people go immediately upon death?^*

11. Do you believe that the sinless blood of Jesus Christ is the only thing that can cleanse a person from his sin?^*

12. Do you believe that Jesus Christ is coming back for the church before the Tribulation Period starts?^*

13. Do you believe that a Christian can lose his salvation?^*

14. Do you believe that every Christian should obey the Lord and get baptized under the water?^*

15. Do you believe that baptism washes away our sins?^*

16. Do you smoke or chew tobacco?^*

17. Do you drink alcohol?^*

18. Do you agree with the present day Tongues or Charismatic movement, and think that it is Scriptural?^*

19. Do you think that it is Scriptural for women to be pastors of churches?^*

20. Do you think that contemporary music with a rock beat is okay to use in churches?^*

21. Do you promise that to your knowledge you will not let our material be sold, but only given away free of charge?^*

22. How will this material be used?^*

For Personal Use
For My Church
For A Special Event (parade_fair_race_annual celebration _etc.)

Addtional notes on uses if necessary.

23. Please give your testimony as to how and when you were saved.^*

24. Please tell us how you found out about us (if you used a Search Engine to locate us, please tell us which one you used).^*

25. Are you requesting to translate our material into another language?^*

(If you answered "Yes" to the above question, you need to tell us what language you are requesting, and we will contact you with further information.)

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