Request Deliverance

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Address*

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Are you a member of Threshold Church?*

If not, how long have you been attending?

Describe your testimony and relationship with God.*

Describe why you are seeking deliverance ministry. What areas are you needing freedom in?*

How long have you been experiencing this?*

Have you ever received counseling or ministry for this in the past? If so, when and what was your experience?*

Are you aware of anything that may have given access to demonic influence in your life? If so, briefly explain:*

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