Bethany Lutheran Church, Appleton WI ť Prayer Request Form

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Bethany Lutheran Church

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September 4, 2010


	Contact Info:

Bethany Lutheran Church
530 W. Parkway Boulevard
Appleton, WI 54911
Phone: 920-733-9561
Fax: 920-733-7180
Contact Via Email


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	Prayer Request Form

Thank you for your faith in God's promise to answer all prayers.

In order to help us to pray with you, please fill out the information below.

________________________________________________________________________________

Who is the prayer for?

Their relationship to you?

Can their name be used in the prayer? (Check one)

1. Yes
2. First Name Only
3. No

Describe the situation you would like us to pray about.

If not a member of Bethany, Appleton, WI, give the name & location of your church/denomination or say "none".

Check here if you would like a contact from one of our pastors?

Submitted by Name:

Submitted by E-mail:

Submitted by Phone:

Thank you for allowing the A.S.K. Prayer Chain to join you in prayer before our heavenly Father. Please be assured that your request will be passed along to our members within 24 hours of receipt.

Please enter the characters from the box above: