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Culte spécial le dimanche à 13h00 et le samedi à 20h00. Venez nombreux !

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Stay tuned to our Bible Studies, Master Class Webinars and Rendez-vous d'Evangelisations programs.

First name

Last name

Address

Phone

E-mail

1- Appointment request

Reason:

Personal difficulties

Couple difficulties

Children difficulties

Other:

2- Request to visit a patient

No / First name of the person to visit

Relationship

Age

Phone

Address

Reason for visit:

Hospital

Clinical

Retirement home

Personal dwelling

Person to visit informed

or yourself

Informed hospital staff

3- Request for a visit to an isolated elderly person

No / First name of the person to visit

Age

Relationship

Phone

Address

Reason for visit

Person to visit informed

or yourself

4- Information or registration for an event

5- Other

Phone: 01 23 45 67 89

Fax: 01 23 45 67 89

parledelui@gmail.com

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