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YOUR NAME: *
E-MAIL ADDRESS: *
DESCRIPTION OF NEED / PRAYER REQUEST: *
How would you like to communicate? PHONE? INTERNET? or IN PERSON? *
IF YOU WOULD YOU LIKE TO SCHEDULE A MEETING, I am physically located in Newton Grove, NC. I am available to meet for FREE in Benson or Dunn, (both just off I-95) and Clinton or Newton Grove, just off I-40. Are you able to travel to one of these locations?
TO SCHEDULE AN IN-PERSON MEETING, PLEASE CALL ME AT (919) 889-4782 BETWEEN 9:00 A.M. AND 7:00 P.M. Mon - Sat.
HOW DID YOU HEAR ABOUT FACE TO FACE MINISTRIES? Please be specific: craigslist, google search, yahoo search, friend, church, other... *
WHERE ARE YOU LOCATED? CITY/STATE *


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