[	Please make me a "Prayer Partner" of the Association of the New Covenant".
[  ]	Please accept ____________ as my contribution for the booklet and to help you in your mission.
[  ]	I will be praying for the success of all of your evangelizing efforts.
[  ]	Let me know when you are having a Community Gathering of Prayer Partners. I would be interested in attending.
[  ]	Please check this box if you would like to have a prayer partner that you could pray with.

Would you be interested in communicating with your prayer partner by E-Mail?

If yes, please print your E-Mail address:_________________________________ .

Would you like to communicate with your prayer partner through a Chat Room on the Internet?

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NAME ____________________________________________________________

ADDRESS ________________________________________________________

CITY ____________________________ STATE _____ ZIP CODE ____________

PHONE ___________________ E-MAIL ADDRESS ________________________

SINGLE __ MARRIED __ WIDOWED __ AGE: _____________________________

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