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Name / Votre Nom
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First
Last
Where Are You Located?/ (Ville, Etat, Pays)
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Choose a prayer category /Choisissez une catégorie de prière
Marriage/Mariage
Children/Enfants
Finances/Job
Healing/Guérison
Immigration/Documentations
Spiritual Warfare/ Guerre Spirituelle
Spiritual Growth/ Croissance Spirituelle
Spiritual Direction/Direction Divine
Salvation of loved ones/Salut des proches
Prayer Request / Demande de prière
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Explain The Request or Testimony / (Expliquez votre demande ou témoignage)
What is The Level of Urgency of your prayer request?
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Normal
Urgent
Emergency
Gender? / (Sexe)
Male/ Homme
Female/ Femme
How do you follow Pilgrim Wesleyan Church the most?/Koman ou plis koute/gade Pilgrim??
YouTube
Facebook
Church Website
Age range/Tranche d'age
12-18
19-25
26-34
35-44
45-54
55-65
65+
Phone Numbers
(In case we need to make contact) / Numéro de téléphone (au cas où nous avons besoin de vous contacter)
Email Address
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Email? (Secondary contact) / (Contact secondaire)
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