Request for Visit - Niverville
Please make us aware of your need by filling in the form below. You may also call Pastor Tim at the church office at 204-261-0070 ext. 218 (Monday-Thursday).
I am requesting
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Visit in my home
Visit in hospital or care facility
Phone call only
Other
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Details
We will contact you to arrange the visit after receiving your request.
Submit
Should be Empty: