Sick & Shut-in
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Name of Person in Need of Prayer
*
Please Pray for:
*
Please select one option.
Salvation
Healing
Ministry
Employment
Financial Needs
Family/Marriage
Guidance
Other
Select Option
Salvation
Healing
Ministry
Employment
Financial Needs
Family/Marriage
Guidance
Other
Does he/she attend Ebenezer Baptist Church
*
Please select all that apply.
Yes
No
Their Email
*
This address will receive a confirmation email
Their Phone
*
Your Name
*
Anything else we should know?
*
Submit
Description
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