Healing Hearts: Subscription Renewal Request

If you would like to renew your 'Healing Hearts News' subscription but paying for your renewal would be a hardship for your family right now, please complete all fields below. This information is for our use only and will not be shared with any other organization or company.

NOTE: Use the TAB key to move between fields. If the ENTER key is used it may submit the form before you are ready.

...Or for those who prefer to mail their renewal, a copy of the subscription renewal form in Acrobat .PDF format can also be downloaded and printed. (Acrobat Reader is required to view this form.) Then mail it to the address below.

HEALING HEARTS
19627 SE 284th St
Kent, WA 98042

Thank you.

Subscriber Name:

Address: Apt #:

Additional Address: (optional)

City: State: Zip or Postal Code:

Country:

Email Address: (ex: someone@service.com)

Yes I would like to continue receiving Healing Hearts News via Snail-Mail.
(Printed and mailed version)

Yes I would like to continue receiving Healing Hearts News via e-Mail.
(This helps to reduce our costs. Thanks)

Please select your preferred e-mail newsletter format below.
Text Acrobat .PDF Attachment Link to Acrobat .PDF file

Yes, I would like my family to appear on the Prayer Page
Both Web & Newsletter Newsletter Only Web Site Only

Yes, I would like my family to appear on the Pen Pal Page
Both Web & Newsletter Newsletter Only Web Site Only

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