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PRAYER
How Can We Pray For You?
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
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