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Prayer Request

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Please complete the following form to submit a new prayer request.

Your name: *

Name of person in need of prayer: *

Where do they hold church membership?: *

List the problems or issues to pray for and if they are hospitalized and where: *

May we pray for this need in our public worship?:

Your email adress: *

Your phone number (optional) :

Would you like us to call you and pray or talk with you?:

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