First Name *

Last Name *

Mailing Address

Mobile Number

Email Address

Date

Gender

Age

Church Attending

Have you received Sozo at Plumtree before?

If so, approximately when?

Will you be able to fast or pray one week before your Sozo session? Ask the Lord what He wants you to fast It can be fasting one meal a day, watching TV, etc

Who referred you to Sozo ministry?

What do you hope to receive from Sozo Ministry?

Best way to contact you?