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PRAYER REQUEST FORM

Just complete this form. Click on Submit when ready to send.

Please fill out this form for your prayer requests and for Prayer cloths

 Name:

Address:

City:

State:

Zip:

Country:

 

How do you want to us minister to you?

Please Pray for my prayer request only
Please send me the Prayer cloth only
Both of the above
 

 

Prayer Request (Please type in your prayer request)