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PRAYER REQUEST
Please fill out this form for your Prayer Request to be sent to the ELC Prayer chain group.
* Indicates required question
Email
*
Your email
1. Date Form Submitted
*
MM
/
DD
/
YYYY
2. Name of Person for Prayer Request
*
Your answer
3. Reason for the request
*
Your answer
3. Name of Person (First & Last Name) making this request?
*
Your answer
4. If we need to contact you regarding this request, please enter the Email Address and/or Phone Number that you want us to use.
*
Your answer
Do you want this request to stay private:
*
Stay private, don't add to the church prayer list for other members to see.
Make prayer request visible to congregation
Send me a copy of my responses.
Submit
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