Outreach Ministry
Love Contribution

Name:_______________________________________

Street Address:________________________________

City/State/ZIP:_________________________________

E-Mail Address:________________________________

Phone #:_____________________________________

Amount of Donation: $__________________________

Please print and mail this form with a check for the amount above to:

      Victory Temple Ministries
        P.O. Box  691085
      Stockton, CA.  95269-1085           

Questions & Comments:___________________________

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