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Name (first and last)
   
 
 
 
Mailing address:
   
 
 
 
Phone number (home and cell please!)
   
 
 
 
Do you communicate via text messaging? Do you mind receiving text messages from your prayer partner?
   
 
 
 
Email address?
   
 
 
 
When is your birthday?
   
 
 
 
What is your age?
   
 
 
 
Are you from AZ originally? If no, where are you from originally? How long have you lived in AZ?
   
 
 
 
Spouse's name?
   
 
 
 
Wedding anniversary?
   
 
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