Prayer Request

1
Language:* This field is required.
English
Spanish
2
Full Name* This field is required.
First Name
Last Name
3
Nombre* This field is required.
Primer Nombre
Apellido
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Numero de Telefono* This field is required.
Por favor ingrese un número de teléfono válido.
6
I would like to receive prayer for...* This field is required.
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Large
Normal
Small
Ok
Ok
7
Me gustaría recibir oración por...* This field is required.
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Large
Normal
Small
Ok
Ok
8
Would you like to keep your request private or public?* This field is required.If kept private, only our HoM staff will view your request. If you decide to make your request public it will be added to our church prayer list.
Private
Public
9
¿Le gustaría mantener su solicitud privada o pública?* This field is required.Si se mantiene privado, solo nuestro personal de HoM verá su solicitud. Si decide hacer pública su solicitud, se agregará a la lista de oración de nuestra iglesia.
Privado
Publico
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