Prayer

Do you attend CBC?

YES

NO

How can we pray for you?

Prayer Request

This request is for

Myself or My Family

Someone Else

Relationship

Include in the CBC Prayer List? (Please make sure you have permission to share this request with others)

Yes

No

No - Anonymous Request

Would you like us to send a prayer letter or postcard from the church?

Prayer Letter signed by the congregation

Postcard from the pastor or secretary

None

Mailing Address for Prayer Letter or Postcard

Apartment, suite, etc.

City

State

Zip/Postal Code

Would you like someone to follow up with you?

Yes

No

Your First Name

Your Last Name

Email

Phone Number

PRAYER