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Prayer Request Form
 

This request will remain in the Prayer Room for 2 weeks. It can be renewed by filling out a new form or by calling Lee Roberds in the church office at 703-670-0093.

Be specific about the request, e.g. healing of colon cancer; please note your relationship to this person, e.g. it is for yourself or your mother, son, uncle, cousin, neighbor, co-worker, etc.

 
Fields marked with » are required
 
» Name of person being prayed for:
 
» Request:
 
Your Name:
Phone: () -