On-line form

Congregation Name :

E-mail address :

Address:

Phone:

Pastor's or LLM's Name :

E-mail address :

Special Ministries :

Special activities or emphases going on:

Dates of upcoming special events :
(As dates are planned throughout the year,
share them so they can be included on the prayer calendar.)

Anniversary of Congregation :

Pastor's anniversary of ordination :

Pastor's anniversary with congregation:

Are you aware of individuals who might be willing to participate as a "pray-er" in the prayer network? Please include their name(s), address, phone number, and e-mail address. :

Are you aware of individuals who might be willing to write one week of devotions? Please include their
name(s), address, phone number, and e-mail address. :