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Want to talk to God? Well get in line! You can however email him ...

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-Mail Address*
E-Mail Address*

Web Site URL*
Web Site URL*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Business Phone*
Business Phone*

Fax*
Fax*

Religion Ouuuuuuu*
Religion Ouuuuuuu*

Marital Status*
Marital Status*

	Maried
	Single
	Divorced (SINNER)

Sexual Orientation*
Sexual Orientation*

	Hetrosexual
	Homosexual
	Bisexual
	Asexual

Blood Type*
Blood Type*

	A
	AB
	B
	O
	Pickled

Do you beleive in any of the following? (select all that apply)*
Do you beleive in any of the following? (select all that apply)*

	Alien Abductions/Anal Experiments
	Atlantis
	Those are Tony Robins' REAL teeth
	Michael Jackson
	Tastes Great
	Less Filling
	Life After Love
	Me

What is your question my child?*
What is your question my child?*

November 24, 2009