On-line form

Congregation Name :

E-mail address :

Address:

Phone:

Pastor's or LLM's Name :

E-mail address :

Members of Pastor's or LLM's family (list each name) :

Congregation Staff Members :

Congregation Officers :

Council Members :

Special Ministries :

Special activities or emphases going on:

Dates of upcoming special events :
(As dates are planned throughout the year,
share them so they can be included on the prayer calendar.)

Anniversary of Congregation :

Pastor's anniversary of ordination :

Pastor's anniversary with congregation:

Are you aware of individuals who might be willing to write one week of devotions
and/or participate as pray-er in the prayer network? Please include their name(s), address
phone number and e-mail address. :

Are you aware of resource and/or information websites that might be
considered to be linked to Prayfaithfully :