EmailMe Form - Wrapped In Prayer PRAYER QUILT REQUEST FORM

Wrapped in Prayer services our local region of Tucson, AZ. Other geographical areas many be considered on an individual basis. Thank you for requesting a Prayer Quilt. Due to the high demand for Prayer Quilts, we will happily make one quilt per recipient. We consider each request an honor and we join with you in praying for the needs of your loved one. We take each person into our hearts and continually lift up their needs to our Heavenly Father.

How did you hear about the Wrapped in Prayer ministry? *

Date of request: *

MM / DD / YYYY

This quilt is for: *

First Last

Recipient is a *

male

female

Electronic Signature:
By providing your electronic signature, you verify that you have received the appropriate permission as described above. *

First Last

SIZE: So that we may make the appropriate size quilt, please tell us the age of the recipient *

0-2yrs (infant)

3-7 yrs (child)

8-12 (youth)

13+ (adult)

Requestor's Email: *

Requestor's Phone: *

### - ### - ####

Circumstances leading to this quilt request: *

Because prayer is integral in the effectual use of a prayer quilt, please tell us who will be praying over this quilt: *

My home church

My bible study group

My family

Saguaro Canyon Church

What is your specific prayer request? *

DELIVERY OPTION: *

I will deliver this quilt in person

I will ship the quilt my self

Request Wrapped in Prayer to ship quilt ($20 shipping charge). The prayer quilt will be shipped upon receipt of your postage.

Send payment to: Wrapped in Prayer, 8918 E Worley Place, Tucson, AZ 85730

Ship to:

First Last

Shipping Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region