Kindly fill this form to request for a special prayer.
Please tick if you wish to keep the following section confidential.
If you choose Yes then no personal information would be shared in the prayer box except for the prayer request.
Please tick if you DO NOT wish to request for prayers on the Prayer Box page on FaceBook.
Not seeking for prayers on the Prayer Box Page
Please enter here your full name including your first name and last name.
City Of Residence
Please enter your city of residence
Please enter your email id here to receive online blessing.
If you wish to be part of collective prayers . Only 4 SMS per month would be sent for notification of date and timings.
Please enter your prayer request here.
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