Prayer Request
Please fill out this form with the details about your prayer request.
In love and light,
Rev. Victoria
Date:
*
First Name:
*
Last Name:
*
Email Address:
*
This address will receive a confirmation email
Phone:
*
I prefer to be contacted via the phone above:
*
Please select all that apply.
Yes
No
Prayer Title:
*
Prayer Request:
*
* "I agree to get communications from Agape East”
Submit
Description
Please fill out this form with the details about your prayer request.
In love and light,
Rev. Victoria
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