DISTRICT-WIDE DAY OF PRAYER & FASTING
TAB TO or CLICK IN each fill-in field.  Fields with asterisks are required.  When completed, click "SUBMIT" at the bottom of the form.  You need do nothing else.  A list of prayer requests from around the district will be available on the "Prayer" page of the website by Thursday, February 23, 2012.  If you have any problems with this form and need assistance, you can contact the district office at email address:  office@indianacentral.org or by phone, 317.774.7990, or by using the email form on the "Contact Us" page of this website.
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YOUR NAME:
CHURCH TOWN: *
CHURCH NAME: *
PRAYER REQUEST: *
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