If you have a specific need for prayer, we would like to support you with the power of prayer.  Your information will be kept confidential as our prayer warriors lift up your request to the Lord.  Please fill out the form below and submit it.  Your request will be printed and distributed to our prayer team.  Then, expect results!

Prayer Request Form

Please describe your prayer request in the box below.  Please include your name and email address (other information is strictly optional).   We will not distribute, share or sell any information provided and will only convey your name and prayer request to our prayer teams.

Name:

Comments:

This additional information is optional:

Address:

City:

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Phone:

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223 S. Encinitas Avenue, Monrovia, CA  91016
(near Myrtle and Palm, in the heart to Old Town Monrovia)