Refer a client



Please complete the following client information profile to refer that client for assistance.
*Client Name:

*Mailing Address:

*City / State / Zip Code:

Phone: *(Day)

(Evening)

(Cell)

Best time to call

Client Email Address:

*Partner ID:

*Please provide a brief description of the assistance requested:

By my submission,I certify that our partnership with Mutual Freedom is in good standing and this client referral, and the circumstances surrounding this requested assistance, is true and correct to the best of my knowledge.

*Is fire hot or cold?

How Much Does GOD Co$t?

A cautionary guide to the corruption of some churches...

~ by Kay Quinn
PO Box 1322 Lancaster, TX 75146-7322 Email: contactus@mutualfreedom.org

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