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Name
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First
Last
Email
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Alternative Email
Phone Number
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Your church/denomination/ministry
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Who's your Pastor?
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First
Last
Phone Number of your Pastor/Spiritual Leader
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Are you Born Again/Saved by Grace?
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Yes
No
Not Sure
Tell us a summary of how you got saved
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Are you filled with the Holy Spirit and Speak in Tongues?
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Yes
No
Not Sure
How did you get to know about Life Missions?
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Facebook
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Website
Friend/brother/Sister
Other
Why do you want to volunteer to be an intercessor?
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