EmailMe Form - Bethel Global Methodist Church Prayer Request

Requested by *
Please contact me *
Yes
No
Telephone Number *
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Email

Confirm
Prayer concern is private and for Pastor only? *
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No
If your concern is for a person, please enter their name(s)
Prayer Request *
Please include my Prayer Request on the Telephone Prayer Chain *
Yes
No
Have you received permission from the individual(s) to included them on the Telephone Prayer Chain? *
Yes
No
Would this person like to be contacted by the Pastor? If so, please enter their telephone number.
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