ROANOKE CHURCH

SEVENTH DAY ADVENTIST REFORM MOVEMENT

Name*

Email*

Phone

I would like:*

prayer / petition

praise

Bible studies

a visit

other

If a prayer / petition or praise:*

I would like my praise/petition to be mentioned during our Wednesday Prayer Meeting.

Please just mention my first name during Wednesday Prayer Meeting with no details.

Please hold my praise/petition in confidentiality among the pastors and elders.

Please include any additional details:

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