Are you a Born Again /
Bible Believing Christian? *

 Yes       No

Do you love the Lord with all your heart,
all your soul, and all your might? *

 Yes       No

Have your truly surrendered
your life to the Lord? *

 Yes       No

Are you allowing Him to live
His life in and through you? *

 Yes       No

Are you willing to commit to
praying for others at least one
hour a week every Friday? *

 Yes       No

Which hour of the watch can
you commit yourself for?*

Tell us about your love for the lord
and your commitment to Him.*

* Salutation:

* Name:

* Date of Birth:

Marital Status: *

 Married       Single       Divorced       Widowed

* Address 1:

Address 2:

* City:

* State:

* Zipcode:

* Country:

* Daytime Phone:

 -   - 

Evening Phone:

 -   - 

Fax Number:

 -   - 

Email Address:

Website (if applicable):

* Church Affiliation /
Pastor`s Name:

* Address 1:

Address 2:

* City:

* State:

* Zipcode:

* Country:

Website (if applicable):

I hereby commit myself to the watch with the Amen intercession group once a week
for the glory and honor of our Lord Jesus Christ.

* Initials: 

*Type verification image: