Free Material Request Registration Form

If you are a prison minister, chaplain, or volunteer and requesting FREE materials for a facility, you must complete this form prior to placing your request. Completing this form automatically enrolls you in our Prison Ministry Network.

*Please Read Thoroughly. Mistakes in completing this form may lead to delayed requests.

Once you complete this form, you will be redirected to a page with your coupon code, which you can then use in our online store to place your free request.

Due to limited in-house inventory please limit your free requests to a value of LESS than $500.

Click here to view a list of Quantites / Limits for ordering available items.

Click here to if you would like information on how to use our Correspondence Courses.

Please Note – Your responses may be used in our grant reporting and in our business and social media posting.
Dismas Ministry does not ship outside of the United States.

All fields marked with (*) are required.

  • Please list the full name of the facility you are ordering for.
  • (For example: group setting, bible study groups, hand out as requested, etc.)

Contact Information

Office Hours:
9:00 am – 4:00 pm (Central time)
Monday – Friday

Email: orders@dismasministry.org

Mailing Address:

Dismas Ministry
P.O. Box 2113
Milwaukee, WI 53201-2113

Our Physical Address:

Dismas Ministry
3400 South 43rd Street
CLARE HALL 121
Milwaukee, WI 53219

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