Please fill out this form for your Prayer Request to be sent to the ELC Prayer chain group.
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Email *
1. Name of Person for whom the Prayer Request is being made (First & Last name required) *
2. Reason for the request *
3. Name of Person (First & Last Name) making this request? *
4. If we need to contact you regarding this request, please enter the Email Address and/or Phone Number that you want us to use. *
Do you want this request to stay private: *
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