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Prayer Requests


Your first name:
 Your E-mail Address:
   
Would you visit this web site again?
Yes No 		How did you hear about my site?
A popular search engine
Link from another site
From a friend
   
Please leave your prayer request below
and I will return your message:



After you have submitted your prayer request, you will see a page that says your form has been submitted and it will ask to to click "back". It will bring you back to this page. Click on my name and it will take you back to my home page.  Jan