Feedback Form and/or Newsletter Subscription Request

You may use this convenient Feedback Form to contact us.

Except for Name and the Email fields, the rest of this form is optional. Please supply all the information needed for us to process your request, it will not be retained for any other purpose. If you are subscribing to an email notification of our newsletter, we will send you a confirmation which you must respond to prior to receiving any other email from us. We would also appreciate knowing how you found this web site. Other information you provide can help us make this site better. Thank you.

Name:

Organization:

Email Address:

Confirm Email:

Phone:

Fax:

Would you like to subscribe to our newsletter?

Yes

If yes, how would you like the newsletter delivered?

Mailing Address:

City:

State:

Zip:

How did you find our web site?

Would you give online if that option were available?

Yes

Maybe

Do you have any suggestions for this site?

Message; may be as short or as long as you like:

Privacy Policy: The information you provide is strictly for Alpha Ministries. It will not be sold, shared, retained, or used for any purpose other than providing the information you request to receive.

Alpha Prison Ministries • 616-538-4090 • Grand Rapids, Michigan • info@alphapm.org