Thank you for submitting your address change.

Please fill in the blanks below and press the submit button to send your new information to us.

We understand that the following information may already be notated on your account;
however, we do ask that you answer the following questions to help us verify and update our database.

Personal Information:

Your Customer Number:

Mr.

Mrs.

Miss

Mr. and Mrs.

First Name:

Last Name:

Spouse Name:(Optional)

I listen to The Family Altar Program on radio station

I can not currently receive The Family Altar Program,
but would be interested in having
the broadcast aired in my area
in the future as your broadcast expands.

New Address:

Old Address:

Address Line 1

Address Line 2

City State

Zip +Four (Optional)

Address Line 1

Address Line 2

City State

Zip

Please let us know how Brother Roloff or the Roloff Ministries has been a blessing to you.
This form is designed to NOT send your E-Mail address with the rest of the information.
If you would like to receive a response by E-Mail, please include your address below.

Our Privacy Policy:

It is the policy of the Roloff Ministries to keep our mailing list completely confidential.
As a matter of policy set by our board of directors, The Roloff Ministries
will not make our mailing list available to any outside individual, corporation,
or ministry to ensure the privacy of our friends and donors.

If at any time it is suspected that the security of our mailing list has been compromised,
we ask that our friends and listeners inform us immediately.

It is the policy of the Roloff Ministries to operate a completely voluntary mailing list.
Any person receiving materials from the Roloff Ministries
may choose to be removed from our mailing list or to have
certain mailings restricted at any time by request.