Lower Valley Indian Baptist Church 

Prayer Request Form

Be careful for nothing; but in every thing by prayer and supplication
with thanksgiving let your requests be made know unto God.
Philippians 4:6

It is our desire and hope to help meet your prayer need in whatever way we can. This form is to assist us in praying with you and for you. However, it is not necessary to complete all the information below in order for us to share your prayer needs. If you desire to remain anonymous, please drop down to the actual prayer request place on the form, fill it in and submit. Imagine the Power of a World in Prayer.. Pray without Ceasing.


This prayer request is for: Self         Family/Family Member         Other

May we share your prayer request with others outside of our Pastoral staff to aid in Prayer?
Yes         No

May we send a "Prayer-Card"? If yes, we will need a name and address for the recipient.
Yes         No


Your Name:
Address 1:  
Address 2:  
City: , State: Zip:
Non-US Address:

Phone: Email address:

Prayer Request:

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