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Due to the Privacy Act Law that provides safeguards against invasion of personal privacy we ask that you not put prayer request on this page unless you have permission by the individual are a family member.

Please complete the request form so we can join with you and intercede for your specific need.

First Name:


Last Name:


Your Email:


Does Individual/Family have knowledge you are sending this Request (Yes/No) If your answer is No this prayer request will go to pastor only:


Pastor Only (Yes/No):


Prayer Request::



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