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40 Days of Prayer Small Group Registration

Name *
Name
Mobile Phone
Mobile Phone
Home Phone
Home Phone
Work Phone
Work Phone
Address
Address
Please provide us with the first and last name of each individual in your group that needs a study guide.
Reserve my materials to be picked up before or after a church service at the Grace Central kiosk:
My group is open to new people:
Group type:
Check all that apply.
Stage of Life:
Check all that apply.