[av_contact email=’santhuanthony@gmail.com’ title=’Please submit your testimony of deliverance and/or healing in the submission box below. If you don’t want your name revealed then please use another name, your middle name or refer to yourself as “anonymous”. We thank you for testimony and willingness to share it with those who are seeking deliverance & healing.’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=” autorespond=” captcha=” color=”]
[av_contact_field label=’Name’ type=’text’ check=’is_empty’ options=” width=”][/av_contact_field]
[av_contact_field label=’E-Mail’ type=’text’ check=’is_email’ options=” width=”][/av_contact_field]
[av_contact_field label=’Subject’ type=’text’ options=” check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’Your Testimony’ type=’textarea’ options=” check=’is_empty’ width=”][/av_contact_field]