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  1. ASW 2.5
  2. Comments and Suggestions Questionnaire
  3. Place an "X" in the brackets ( [ ] ).
  4.  
  5. Please fill out fully. All addresses become my PRIVATE
  6. database and are NOT sold to anyone else.
  7.  
  8.  
  9. Name __________________________
  10. Address ___________________________
  11. City ____________________,  State ___  ZIP ________
  12. Phone# __________________________ (optional)
  13. Birthday ___/___/___
  14.  
  15. Hobbies ___________________________________________________
  16.     ___________________________________________________
  17.     ___________________________________________________
  18.     ___________________________________________________
  19.     ___________________________________________________
  20.  
  21. Denomination   [ ] Baptist
  22.            [ ] Assemblies of God
  23.            [ ] Four Square
  24.            [ ] Other ______________________________
  25.            [ ] Do not attend church
  26.  
  27. What did you like?
  28.     ___________________________________________________
  29.     ___________________________________________________
  30.     ___________________________________________________
  31.     ___________________________________________________
  32.     ___________________________________________________
  33.  
  34. What did you dislike?
  35.     ___________________________________________________
  36.     ___________________________________________________
  37.     ___________________________________________________
  38.     ___________________________________________________
  39.     ___________________________________________________
  40.  
  41. I would like to know more about becoming a Christian [ ]
  42.  
  43. Send response to:
  44.  
  45. Neal Stone
  46. 818 Burr RD #4
  47. Olympia, WA 98501
  48. or
  49. nastone@cco.net
  50.