Prayer Request Form

And this is the confidence that we have in Him, that if we ask anything according
to His will, He hears us:  and if we know that He hears us, whatsoever we ask,
we know that we have the petitions that we desired of Him.
1 John 5:14-15

We  welcome your prayer requests and will gladly pray for you.  Fill  in  the
form below and press the "Submit Your Request" button when you're ready
to  submit the form.  You may also send us  your request either by email to or by U.S. Mail to:
  etc. CHRISTian resource center, P. O. Box 5242, Carson, CA 90749

Your Name:

E-mail Address:


Prayer is for:

Name of person to pray for:

Person is:

Please check the need the person has:

  1. Salvation

  2. Healing

  3. Finances

  4. Ministry

  5. Deliverance

  6. Other



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