Survey - DFZ Standard Signup Form - Christians United for Israel

Shalom! To become a part of the Daughters For Zion Prayer Network, please fill in the following fields. Only the first six fields marked with * are mandatory; the more information you provide will allow us to communicate better with you. (Daughters For Zion will keep your information secure; no one outside of the CUFI network will receive your information. We respect your privacy.)

Thank you and welcome to the Daughters For Zion Prayer Network!

1.

Please fill out with your information:

*

Name:

First Required	Last Required

*

Email Required

Street 1:

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

Country:

Phone Number:

I consent to receiving email communications.

Yes, I would like to receive postal mail from Christians United for Israel

Remember me. What's this?

2.

Question - Not Required - Church or ministry name

3.

Question - Not Required - Area in ministry

4.

Question - Not Required - Position or title at the ministry

5.

Question - Not Required - On average, how often do you pray for Israel?

6.

Question - Not Required - Are you praying the four DFZ Prayer Points (Peace of Jerusalem, well-being of the state of Israel and its people, and CUFI Leadership)? Yes
No
Sometimes
I need more information on the four points (see DFZ website to download the executive summary and prayer points)

7.

Question - Not Required - Are you in a prayer group that pray for Israel? Yes
No

8.

Question - Not Required - How many pray-ers are in your group?

9.

Question - Not Required - The name of your DFZ Prayer Group leader

10.

Question - Not Required - I want to be a DFZ Prayer Group leader

11.

Question - Not Required - I am a student in college or university

12.

Question - Not Required - Daughters for Zion and CUFI would like to send you an e-card on your birthday. If you would like to receive an e-card, please enter your birthday.

13.

Question - Not Required - Preferred Language

14.

Question - Not Required - Comments