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The Prayer Coalition Connect Form
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Indicates required field
Name
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First
Last
Phone Number
*
Email
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Tell us about your family
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Where do you live? (City/State)
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Choose One
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Male
Female
Other/No answer
How can we pray for you?
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Are you a Believer?
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No
I don't know/Unsure
Can Humanity Reboxed send you information regarding our ministry? (Newsletter, emails, etc.)
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Yes
No
Can the Prayer Coalition add you to our email prayer list?
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Yes
No
This is still in development and will be released at a later date.
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Reference 3 (Name)
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Home
Ministry
Outreach
>
Homeless Outreach
Children's Outreach
Emergency Services
The Prayer Coalition
>
Video Messages
Media
Blog
About
Our Team
Partnerships
How it Works
