Registration for the N.P.C. is only $50.00.
Send $50.00 To:
N.P.C.
P.O. Box 503
Grundy, Va. 24614

Fill Out Form====Print====And Mail

First name: Last name: Age:

Address:

City: State: Zip Code:

Home Phone: Cell Phone:

E-Mail:

What Church Do You Attend If Any?:

Is This Your First Time To The National Prayer Clinic?: Yes No

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