Mail to:

New Life Ministries of Ohio, Inc.

430 Noble Place NW

Massillon, Ohio 44647

Cost: $30.00

Name:

Address:

City, State and Zip

Telephone:

Birthday:

Divorced:

Widowed:

Never married:

Parish or Church you attend:

Enclose check for $30.00 made out to New Life Ministries of Ohio.

You must be pre-registered!