Moms in Prayer International
Roster Update Form
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Thank you for helping us to help other moms have the opportunity to pray in a Moms in Prayer Group.
Please note: THESE DO NOT UPDATE AUTOMATICALLY
Update Type
Addition
Change/Update
Remove from mailing list
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First Name:
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Last Name:
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Address:
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City:
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Country:
USA
Other
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Country Name:
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State/Province:
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State/Province:
Choose one...
Alabama
Alaska
Arizona
Arkansas
Northern California
Southern California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Northern Texas
Southern Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip/Postal Code:
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Phone:
E-mail:
Group Status:
Choose one...
Leader
Member
Start Group
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School Name:
If more than one school is prayed for in your group, please list additional school names in the comments box.
Type of Group:
Select...
School
Career
Church-Based
College
Language-Based
Grandmothers
Homeschool
Preschool
Prodigals
Special Needs
Working Moms
Military
School District:
School County:
Comments:
Please be assured that this information is kept confidential.
* These fields are required in order for the form to work and send the information to the intended recipient.
THESE UPDATES ARE SENT TO EITHER YOUR ROSTER MANAGER
OR
MIPI HEADQUARTERS AND ARE MANUALLY ENTERED. THE UPDATES WILL NOT BE REFLECTED IMMEDIATELY ON THE GROUP LOCATOR MAP. PLEASE ALLOW 2-4 WEEKS FOR DATA TO BE UPDATED.