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Information Pack, Free Video & Prayer Request Form

If you would like an information packet abut our ministry, or a free video presentation showing our work with the children in the orphanages of Moldova and Romania, please provide all of the information requested below.

If you want to send a prayer request, you only need to use the area provided. You do not need to give your name or any other information unless you wish to do so.

Name

Email

Address 1

Address 2

City

State

Zip

Telephone

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Note: If you've already subscribed to the PCM e-report on any of our other pages, you are already signed up and you can leave the box unchecked.

I'd like the video on Moldova. Please send it on: DVD VHS

 

Philip, please pray with me about the following needs:

When you have filled out the requested information, please click the button below to submit your request.