Prayer Request

 

Name:

Address:

City/State:

Zip:

Phone:

Email:

 

Is this an update or a new prayer request?   UPDATE    NEW

 

Would you like this prayer request added to the church bulletin & newsletter?   YES   NO

 

Would you like Rev. Kissa to contact you?   YES   NO

 

How would you like to be contacted?   PHONE     EMAIL     I would like to schedule a meeting with Rev. Kissa.

 

Your prayer request: