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* 1. This week, my next step is...

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* 2. I am a...

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* 3. I am interested in...

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* 4. I have the following prayer request(a)

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* 5. My Name

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* 6. My phone number

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* 7. May we use text message to contact you?

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* 8. My email address

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* 9. My mailing address

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