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Title: |
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Name: |
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Address: | |
Telephone: |
(home) (work) (cell) |
I need prayer: |
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My prayer needs are for: |
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Please pray for: |
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I am going into hospital: |
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Name of hospital: |
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Date of admission: |
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I would appreciate a visit from the Church: |
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I would like to join St. Winifreds Methodist Church: |
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Any other needs: |
This page was last edited on 12 November, 2000