Join the Movement Name* First Last Email* PhoneStreet Address* City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code*Country*AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo, Democratic RepCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, BurmaNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts and NevisSt LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe1. Attend the International Day of Prayer at the BasilicaThe International Day of Prayer at the Basilica is October 9th at the Basilica of the National Shrine of the Immaculate Conception in Washington, DC.Will you attend?*YesNoStatement of Participation I will Pray and Fast during these 9 days 2. Make a Pledge to Pray and FastPledge to Pray I will pray a decade of the Rosary daily I will pray one mystery of the Rosary daily I will pray three mysteries of the Rosary daily I will pray three mysteries of the Rosary & Divine Chaplet daily Other I Pledge to PrayPledge to Adore I will pledge 1 holy hour every two weeks I will pledge 1 holy hour every week I will pledge 2 or more holy hours every week I will pledge 1 holy hour every day Other I Pledge to AdorePledge to Fast I will fast one day per week I will fast two days per week I will fast three or more days per week Other I Pledge to Fast3. Donate to Support this Prayer and Fasting MovementOffer a Donation*$25$50$75$100$250$500I wish to donate another amountI wish to donate by checkI cannot donate at this timePlease enter your donation amount: To Donate by Check: Please make check payable to International Prayer and Fasting Coalition and mail to International Prayer and Fasting, P.O. Box 927, Herndon, VA 20172-0927. For questions, contact us at email@example.com or 1-888-478-PRAY.For $50 we will send you "Our Lady of Fatima Peace Plan From Heaven" Booklet, the "Divine Mercy Novena and Chaplet" Leaflet, "Pray the Rosary Daily" Leaflet (includes the four mysteries of the Rosary) and "Chaplet of the Most Precious Blood of our Lord Jesus Christ" Trifold. For $100 we will send you ALL OF THE ABOVE, plus "Pieta" Prayer Book, "I Wait For You" Booklet for Adoration, "Live The Fast - Guide to a Bread & Water Fast" Booklet, and "The Divine Favors Granted to St. Joseph" Prayer Book. For $250 we will send you ALL OF THE ABOVE, plus "Guadalupe -- The Miracle and the Message" DVD, "7 Secrets of Confessions" by Vinny Flynn, "Fast with the Heart" by Fr. Slavko Barbaric (Considered to be the best book on Fasting), "The Flame of Love" by Elizabeth Kindelmann. For $500 we will send you ALL OF THE ABOVE plus a 14 inch "Immaculate Heart of Mary" Statue. Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Total $0.00 Thank you for submitting the Prayer and Fasting Pledge! Be sure to press "Submit" below to complete your submission.CommentsThis field is for validation purposes and should be left unchanged.