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Name
*
$
First Name
Last Name
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Prayer Request
*
$
$
One Time
Recurring
Please be as general or specific as you feel comfortable.
Is this request an update on a previous request?
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$
Yes
No
$
One Time
Recurring
Can we add this to our montly prayer email?
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$
Yes.
Yes, but please keep my name anonymous.
No, please keep this prayer request among the YFC staff.
$
One Time
Recurring
We will only use first names on our monthly emails, but will leave your information out completely if you request it on this question.
Can we add you to the prayer email list?
*
$
Yes
I already signed up, or I already receive the prayer emails.
No thank you
$
One Time
Recurring