| If you have a loved
one or friend who needs to be put on the prayer list, fill out the
form below with all applicable information. Then click on the submit
button... |
Name of Person(s) to be Placed on
Prayer List
Reason for Prayer (i.e. sickness, death in family, surgery, etc.)
Where Prayer Cards Can Be Sent?
Street Address
City
Other (if selected)
State
Zip Code
Present Location of Person(s) (Click in
the circle)
Hospital
Name of Hospital
Room #
Nursing Home
Name of Nursing Home
Room #
At Home
Home Address
City
State
Zip Code
Relationship to You
Your Name (not necessary, but helps if
the person you want on the prayer list is a relative or a close friend.)
Any other information or comments
|
