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First Name	Last Name	Email Address	Best Phone Number


Street Address	City	State	Zip


Are You A...	Please request transfer of membership from... (Church Name/City/State)


I'd Like ...
To be added to the Church Mailing List	More Information About the Episcopal Church (You Might Want to Try Episcopal FAQ's)		To be called by the Priest

Prayer Requests
I'd Like to...	Add	The following person(s) on (from) the Parish Prayer List
	Remove
I'd Like to Ask Your Prayers For... (Issues/Concerns)

Liturgical Requests
I'd Like to Have a Sermon or Teaching on the Following Topic...		Please Include Hymn # in a Service If Possible	Please Include The Following Music in a Service If Possible

From Your Heart
I'd Like to ... Give Thanks For...
I'd Like to ... Share This Comment...