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24/7 Intercessor Enlisting Form
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* Indicates required question
Email
*
Your email
Reverend/Pastor/Brother/Sister
*
Your answer
Name
*
Your answer
Address
Your answer
Age
*
20-30
31-40
41-50
51 and above
Required
Mobile
*
Your answer
Email
*
Your answer
Language
English
华语
Bahasa
Tamil
Name of Church
Your answer
Church Location (please tick one)
Central District
KL-Eastern
Northern District
Southern District
Sabah & Sarawak
Others
Please tick one or more days
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
Please tick one or more 15min time-slots starting from Midnight (12:00AM), through the night, and from sunrise to sunset and until the last time-slot at 11.45PM.
*
12.00AM - 12.30AM
12.30AM - 01.00AM
01.00AM - 01.30AM
01.30AM - 02.00AM
02.00AM - 02.30AM
02.30AM - 03.00AM
03.00AM - 03.30AM
03.30AM - 04.00AM
04.00AM - 04.30AM
04.30AM - 05.00AM
05.00AM - 05.30AM
05.30AM - 06.00AM
06.00AM - 06.30AM
06.30AM - 07.00AM
07.00AM - 07.30AM
07.30AM - 08.00AM
08.00AM - 08.30AM
08.30AM - 09.00AM
09.00AM - 09.30AM
09.30AM - 10.00AM
10.00AM - 10.30AM
10.30AM - 11.00AM
11.00AM - 11.30AM
11.30AM - 12.00PM
12.00PM - 12.30PM
12.30PM - 01.00PM
01.00PM - 01.30PM
01.30PM - 02.00PM
02.00PM - 02.30PM
02.30PM - 03.00PM
03.00PM - 03.30PM
03.30PM - 04.00PM
04.00PM - 04.30PM
04.30PM - 05.00PM
05.00PM - 05.30PM
05.30PM - 06.00PM
06.00PM - 06.30PM
06.30PM - 07.00PM
07.00PM - 07.30PM
07.30PM - 08.00PM
08.00PM - 08.30PM
08.30PM - 09.00PM
09.00PM - 09.30PM
09.30PM - 10.00PM
10.00PM - 10.30PM
10.30PM - 11.00PM
11.00PM - 11.30PM
11.30PM - 12.00AM
Required
A copy of your responses will be emailed to the address you provided.
Submit
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