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Submit a Prayer Request

Please enter your prayer request in the form below.

If you would like to shar

About You:  
Your Name:
 Your Phone:
Your Email:
 Relationship to Requestee:

Request For:  
First Name: (Required)
 		Last Name:

Membership: CFBC         Other

Is this person a Christian:
Yes        Not Sure

Should we send this person a note of encouragement? Yes  No
Mailing Address:

Email Address:

Preferred Contact Method:
None      E-Mail      U.S. Mail      Both   
 
Request: (Required)
 
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We respect the privacy of your personal information and do not distribute, share, sell or publish it.
Thank you for allowing us the opportunity to bring this request before God.
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