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The Special Request Form

If you would like to request a miracle that you do not see listed in The Gateway to Source Support, then fill out the form below and I will email you with information on whatever miracles can be created for your situation.

Please describe your circumstances in detail.

The minimum requirement for any form of Source Response is your willingness to work within the parameters of The Standard of Heaven Agreement and The Heaven Agent Agreement which you will have an opportunity to read and accept below.

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About You

First Name
Last Name
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Primary Phone Number
1. Area Code
2. Phone Number
3. Type

Your Request

Please describe your special request in detail:

I have read and agree to the Standard of Heaven Agreement.
I have read and agree to the Heaven Agent Agreement: “I agree to become a Heaven Agent, following the lead of the Source to build Heaven in my life and in the world”.

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