Prayer Warrior Signup Form

Please fill out the form below to register as a Prayer Warrior. Once I have received your request and added you to my Prayer Warrior listing, I'll send you a message notifying you that you're officially enrolled.

Your First Name:
Your Middle Initial:
Your Last Name:

Your E-mail address:

Please tell me how you found this prayer list:
Friend referred me
I followed a link to your prayer list from someone's page
I found it when I used a search engine (like Lycos, Yahoo!, Alta Vista, etc.)
I found it when I was just looking around Geocities
Other:

I'd like to send a thank you to the person who sent you. Please tell me about them so I can thank them:

Their name:
Their E-mail address:
Their URL (a.k.a. web page address):

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