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Clean
Heart Ministries - Prayer Request Form
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This prayer
request form is for anyone who would like us and
our dedicated "prayer warriors" to lift them up
to God in prayer for any need. The fields
marked with an asterisk (i.e. "*") are required,
but the rest are basically not necessary, but we
would appreciate you filling it in to assist us
to be more specific when praying for you (e.g.
The country/city etc. help us focus more on
where you are as we pray for you). The
security code, at the bottom, is required to
prevent "non-human" submissions to this form,
which should prevent us from receiving "spam"
messages from "web bots" that submit "spam" via
web forms. Please also attempt to detail your
prayer need as much as possible, which also
helps us to be specific as we come before the
Lord in prayer for you.
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Page last updated: 19 July 2012
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