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* 1. Contact Information (will not be shared with anyone):

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* 2. Birthday (Month & Day):

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* 3. If possible, how often would you like to receive mail from me? (By checking an option below, it does not guarantee mail that frequently and you may receive more frequently depending on when your birthday falls).

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* 4. Tell me things you would like me to know about you so that I can personalize the note that I write to you (prayer requests, goals, favorite Bible verses, things you need encouragement for, etc).

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* 5. How did you hear about Heart Treasures Blog?

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* 7. What you like to see me blog about this year?

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* 8. Other Comments

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