Submit a Testimony GOD IS MOVING HERE AND NOW AND WE BELIEVE THAT TELLING TESTIMONIES IS A KEY PART IN SHIFTING THE CULTURE OF THE CHURCH. PLEASE FILL OUT THE FORM BELOW TO TELL US YOUR TESTIMONY. Full Name(Required) Email Address(Required) What age are you?(Required) If under 18 we may need parental permission. Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Is English your first language?(Required) Yes No Do you need a translator?(Required) Yes No What is the nature of your testimony?(Required) Physical Healing Deliverance Financial Breakthrough Emotional/Mental Health Healing Salvation Evangelism Freedom from Sexual Bondage Other Did your healing and/or miracle happen at a GPA event, appointment or broadcast, or connected to a GPA activation (for example, whilst reading a book or listening to GPA teaching)?(Required) Yes No Where/how did your healing happen?(Required) Testimony(Required)Please detail your testimony including how it happened.How long ago did it happen?(Required) Name of medical condition or physical pain(Required) Do you have medical verifcation?(Required) Yes No Other Nature of verification Do you have a before and after picture?(Required) Yes No Please upload a before and after?Max. file size: 50 MB.What was the name of your mental health disorder? How long had you had this for? How long have you been free from this? Do we have permission to use your full name?(Required) Yes No Do we have permission to use a photo of you?(Required) Yes No Please upload a photo that we may use on promotional materials.Max. file size: 50 MB. Are you willing to be interviewed?(Required) Yes No What form of interview would you be happy with?(Required) Video Audio Live You can select more than one. Please be aware that your talk will be recorded and the footage will become the exclusive property of Global Prophetic Alliance on a royalty-free, worldwide, irrevocable basis for commercial and non-commercial use with permission to use your name and likeness in relation to the content. This does not prevent you from using your material and ideas by giving the talk elsewhere. If this is not agreeable with yourself(yes), please let us know prior to the event.(Required) I Consent I Do Not Consent Δ