Are you in need of prayer?

First & Last Name *

Cellphone Number *

Prayer Request *

Is this prayer request confidential or, would you like it spoken out loud during the conference? *

Confidential (The District staff meets daily for prayer and devotion time.)

Publish (If this request is for a friend, we must have their permission to publicize it.)

Would you like the Conference Chaplin, Rev. Chris Kollmann, to contact you to pray one on one or talk further? *

Yes

No

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