EmailMe Form - Week of Guided Prayer Registration Form

Name *
First Last Suffix
Email *

Confirm Email
Please provide at least one contact telephone number.
Contact Tel No
[Enter the Tel No where we can reach you easily]
Other Contact Tel No [optional]
Address [optional]

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
I would like to register for a Week of Guided Prayer at: *
Preferred timing that you would like to meet with Prayer Guide (Mon to Fri) :
[Meeting with your prayer guide is about half an hour per pilgrim.]
When would you like to meet your prayer guide on Mon-Fri? *
Remarks (if any)
Personal Data Protection Act
I hereby agree that Sojourners’ Companions may collect, store and use my personal data provided in this form for the purpose of my participation in the Week of Guided Prayer.
Let us know
Yes, I would like to receive follow-up guidance, updates, news and promotional mails/materials.