Immanuel Church Card Ministry
Please use this form to submit your request to have a card of encouragement, prayer, support, or celebration from our Card Care ministry team.
Email address *
Name of person requesting the card: *
Your answer
Contact information of the person requesting the card: *
Your answer
Name of the person you would like to receive a card: *
Your answer
Age of the person you would like to receive a card:
Street address of the person you would like to receive a card: *
Your answer
City/Town of the person you would like to receive a card: *
Your answer
State: *
Your answer
Zip code: *
Your answer
Circumstances for requesting a card: *
Please briefly state any details you can as to the circumstances leading you to request a card for this individual. Please provide any insights that would enable us to best encourage and support the person the card is being sent to. *
Your answer
Death: is card going to a
Name of deceased person
Your answer
A copy of your responses will be emailed to the address you provided.
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