To purchase the "Taking Your City for God" $20 Four-Tape Series
(Free Shipping & Handling)
by credit card, please complete the information below and click submit or print this form and fax it to (972) 432-9331 or call (972) 259-9859 or email info@lowellmims.com.

You may also simply print (print version ) and mail this form with your check payable to: Lowell Mims Ministries
P.O. Box 612503
Dallas, TX 75261


Pastor   Mr.   Mrs.   Ms.  
Name
Church Name
Address 1
Address 2
City
State/Province
ZIP Code/Postal Code
Country
Home phone (include area code)
Church phone (include area code)
Email
Reconfirm Email


          
Visa   Master Card   Discover   American Express  
CC#
Exp. Date  
Name on Card

I would like to receive the FREE information about the Taking Your
City For God Crusades! After much Spirit-led research and study,
Lowell Mims Ministries has developed material for churches of all
sizes. In order to better serve you with this FREE material, please
check the following chart of the size of your church.

0-49    50-99    100-124    125-174    175-224   
225-299    300-449    450-649    650-999   1000 plus  


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Shipping Information
(Leave blank if same as the information above)
First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province:
ZIP Code/Postal Code:
Country
Telephone (include area code):
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Questions/ Comments:
Lowell Mims Ministries
P.O. Box 612503
Dallas, TX 75261-2503
(972) 259-9859
E-mail : info@lowellmims.com