Simple New Testament Christianity
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Prayer Requests
Prayer Request Form
Use this form to submit your prayer request.
What is your information?
First Name
Last Name
Email
Phone Number
Who is this prayer request for?
Myself and/or my family.
Someone else and/or their family.
What is their name?
Do we need to reach out to them?
Yes
No
What is their email address?
What is their phone number?
Give us a little information about who and/or what you would like us to pray for.
Would you like us to share this prayer request?
Would you like us to add you or your families name to our church's prayer list and send out a notification so the entire congregation can pray for you or your family?
Yes
No
Would you like us to add their name to our church's prayer list and send out a notification so the entire congregation can pray for them or their family?
Yes
No
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