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Individual, Church or Prayer Group Registration


Yes! Drs. Mahesh and Bonnie Chavda, we are joining you in 40 Days 4 America
I am covering these days/dates:
First Name:
Last Name:
E-mail:
Phone:
Address:
Address 2nd Line:
City:
State:
Zip / Postal Code:
Country:

I have a special prayer request for this fast:

 
Are you participating in 40 Days 4 America individually,
or as a group?		 group   individually
Are you the leader of your watch, prayer group or church? yes       no
If not, please name the leader:
How many are in your group?

Thank you for joining us!



Mahesh Chavda Ministries
P.O. Box 411008 Charlotte, NC 28241-2009
Fax (704) 541-5300 or call (704) 543-7272 for more information.
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