<!-- Alternate content for non-supporting browsers --> <table width="570" align="center" cellpadding="0" cellspacing="0"> <tr> <td> </td> <td colspan="2" valign="top"><p><br> <img src="images/prayertext.gif" width="149" height="30"><br> </p> </td> </tr> <tr> <td width="4%"> </td> <td width="72%" valign="top"><form action="prayer_request.php" method="post" target="_top"> <table width="371" border="0" cellpadding="2" align="left"> <tr valign="top"> <td colspan="2"><p> Fill out this form and your information will be provided to the All Saints’ Chapter of the Daughters of the King. For a week’s time, your requested prayer will be included in the daily intercessory prayer of the Daughters, whose ministry is prayer and service. </p> </td> </tr> <tr valign="top"> <td width="75"><div align="left"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Date:</font></div></td> <td width="236"><div align="left"><font size="1"> <input name="date" type="text" id="date" size="20"> </font></div></td> </tr> <tr valign="top"> <td colspan="2"> </td> </tr> <tr valign="top"> <td colspan="2"><div align="left"></div> <div align="left"><font face="Arial, Helvetica, sans-serif" size="2">I ask you to pray during the coming week for: </font></div></td> </tr> <tr valign="top"> <td width="75"><div align="left"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Name:</font></div></td> <td width="236"><div align="left"><font size="1"> <input name="name" type="text" id="name" size="20"> </font></div></td> </tr> <tr valign="top"> <td width="75"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Need:</font></td> <td width="236"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <textarea name="need" cols="20" rows="4" wrap="VIRTUAL" id="need"></textarea> </font><font size="1"> </font></td> </tr> <tr valign="top"> <td><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Email: </font></td> <td><font size="1"> <input name="email" type="text" id="email" size="20"> </font></td> </tr> <tr valign="top"> <td><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Requested By: </font></td> <td><font size="1"> <input name="requested" type="text" id="requested" size="20"> </font></td> </tr> <tr valign="top"> <td width="75" height="19"><div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"><font face="Verdana, Arial, Helvetica, sans-serif"><font size="1"></font></font></font></div></td> <td width="236" height="19"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <input type="submit" name="Submit" value="Submit"> <br> <img src="images/clear.gif" width="1" height="10"> </font></td> </tr> </table> <p> </p> </form> <p align="left"><font size="4"><b><font face="Times New Roman, Times, serif"> </font></b></font></p> <p align="center"> </p> <p align="left"><strong><br> </strong></p></td> <td width="24%" valign="top"><div align="center"> <p><font size="3"><b> <font face="Times New Roman, Times, serif"><br> </font></b></font></p> <p align="left"><font face="Times New Roman, Times, serif"><b> </b></font></p> </div></td> </tr> <tr> <td> </td> <td colspan="2" valign="top"> </td> </tr> </table>
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