PRAYER REQUESTS

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Please submit your Prayer Request or other private comments to Pastor Ealy.

Please Do NOT hit the ENTER key to move between the fill-in boxes, use the TAB key instead. Hitting the ENTER key automatically submits the form.

What kind of comment would you like to send?

Prayer Request Praise Report Suggestion  Problem

What about us do you want to comment on?

Other:

Enter your prayer request or other comments in the space provided below:

Tell us how to get in touch with you:

Name
E-mail
Tel
FAX
Please contact me as soon as possible regarding this matter.

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Copyright 2002 Puritan Street Church of Christ. All rights reserved.
Revised: 01/29/04.