star.gif (2841 bytes)PRAYER REQUESTstar.gif (2841 bytes)
Please provide the following contact information: Or Just your name will do.

First name

Last name

Street address

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

FAX

E-mail

URL

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    Please fill out the Prayer need form below for any prayer needs you have.  Please keep general with only
          necessary details for prayer.

            Enter the date of ... : -- mm/dd/yy

  My Prayer Request is:


Thank you Father, In Jesus Name.

Please be assured that Pastor Glenn and a select trusted few   will read the request for prayer.  It will all stay confidential.  Thank you.  God bless you lovingly.