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Please print this form, fill it out, then send it to the address at the bottom of the page.
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Date:________________________________ |
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| Please pray for: ___________________________________________________________ | |||
| The difficulty of this person is:________________________________________________ | |||
| _________________________________________________________________________ | |||
| _________________________________________________________________________ | |||
| I ask that you keep this person on your prayer agenda for ( check one ): | |||
| ____30 days | |||
| ____60 days | |||
| ____90 days | |||
| ____until further notice from me | |||
| Requested
by:________________________ optional |
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| Address:
____________________________ optional |
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____________________________________ |
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| (City)_______________________________ optional |
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| Phone:______________________________ optional |
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Send
this form to:
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Shekinah Society
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