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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
Nebraska
Nevada
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New Jersey
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New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
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
