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June 2, 2023
6.4.Insert
6.4.Bulletin
Worship Forms
Worship Attendance Pad
Prayer Request
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Name
*
First
Last
Email
*
Is this your first time joining us?
*
Yes
No
Please fill out your address if this is your first time joining us!
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
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Nevada
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number (Home or Cell)
*
Which service are you watching?
*
Early Traditional Service - 8:30 AM
Contemporary Service - 9:50 AM
Late Traditional Service - 11:00 AM
How many people attending with you?
Just me
+1
+2
+3
+4
+5
+6
+7
+8
+9
+10
If others are watching with you, please list their names below.
Submit
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Your Name
*
First
Last
Email Address
*
Phone Number (Home or Cell)
Who are we praying for?
*
My Self
A Friend
A Family Member
A Church Member
Someone Else
Please Pray For
*
Fill in the name of the person we are praying for (This can be yourself)
Please describe the prayer need
*
Prayer Permissions
*
I have permission to share this request.
I give permission to publish this request.
This request is for the pastor's eyes only.
Length of Prayer Request
*
Short Term (30 Days)
Long Term (60 Days)
Submit