Your Organization Name Here
Grace Lutheran Church
6000 Broadway
Richmond, IL 60071
Phone 815-678-3082
Fax     815-678-2123

Do Not worry about anything, but in everything
by prayer and supplication with thanksgiving
let your requests be known to God
Your Name
Address
City, State
Zip
Phone
Name of person to be prayed for
In order for the Prayer Ministry to inform the person that we are praying for them,
We need the following information.
Address
City, State
Zip
Date
Is this person a Christian?


Member of Grace Lutheran?
 Yes


Yes
 No


No
Prayer Request: