Christian Grandparenting Network
              5844 Pioneer Mesa Drive
          Colorado Springs, CO  80923-8804

              For more information:
               call 1-719-522-1404


I would like to support Christian Grandparenting
Network's efforts to improve the lives of grandparents
and their grandchildren; enclosed please find my check
(or credit card information) in the amount of

$__________.


Name: ________________________________________________

Address: _____________________________________________

Address (2): _________________________________________

City: _________________________ State:___ ZIP:________

Country: _____________________________________________

Telephone: ___________________________________________

E-mail Address: ______________________________________

Name on card: ________________________________________

Type of credit card:__________________________________

Credit card number: __________________________________

Expiration Date: _________________ CW2 No.____________

Signature: ___________________________________________

Date: ________________________________________________


___ Yes, please subscribe me to your email newesletters.

___ Yes, I would like to receive occasional updates and
newsletters from CGN at my mailing address.


Comments or questions:
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