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15min Prayer Sign-Up

Please fill the form below if you want to sign-up for a 15 minute prayer slot.
Click the Send Message button below after completing the form.
The form will then be sent to Shereen via e-mail.

Subject: 15min prayer sign-up

Date & Time Selection:

FOR EXAMPLE:
If you select "Saturday: 4 am" in STEP 1 below, &
if you select "30 minutes after the hour" in STEP 2 below,
that would mean you chose the 15 minute slot of Saturday, 4:30 - 4:45 am

STEP 1 - Select the hour:
Friday:
12 pm (Fri noon) 1 pm 2 pm 3 pm 4 pm 5 pm 6 pm 7 pm 8 pm 9 pm 10 pm 11 pm
or
Saturday:
12 am (Fri midnight) 1 am 2 am 3 am 4 am 5 am 6 am 7 am 8 am 9 am 10 am 11 am

STEP 2 - Select a 15 minute slot within the previously selected hour (selected in STEP 1 above):
On the hour
15 minutes after the hour
30 minutes after the hour
45 minutes after the hour

Your Name:

Your Email:

Your Phone (optional):

Your Church / Organization:

Message (optional):


  

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