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Prayer Request Form

Date
Month
Day
Year
Person Submitting Request
Person Being Prayed For
Information
Would person like their name on the public prayer list?
Can Clergy contact the person being prayed for?
Is Home Communion requested?
To the attention of:

Calvary Episcopal Church |  821 South Fourth Street   Louisville, KY 40203  |  502-587-6011

visit the diocese of Kentucky
visit the international Angican Communion
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