Prayer request

You can use this form for any prayer requests.

All requests will be treated in strict confidence, unless authorised by you to be made more public.

Name: *
Telephone:
Email address: *
Details of prayer request: *
Can this be used in our Prayers of Intercession?: * Yes No
Do you want someone to contact you about this?: * Yes No
When is the best time to contact you?: Any time
Weekends only
Week days after 6pm
Week days between 9 and 6
Other (please specify)