Heart of the Matter Ministries: Prayer Request
Please fill out this form and click submit.
“Our prayer team is honored to pray with you.”
Prayer Request Details
Category
*
Please select one option.
Salvation
Healing
Family
Marriage
Finances
Grief
Deliverance
Guidance
Mental/Emotional
Other
Select Option
Salvation
Healing
Family
Marriage
Finances
Grief
Deliverance
Guidance
Mental/Emotional
Other
Prayer Request
*
For your privacy, please avoid including highly sensitive personal details. Contact the ministry by phone if discosure of sensitive personal details is required.
Contact Information
Name
*
Email
This address will receive a confirmation email
Phone
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Privacy & Sharing Options
How Would You Like Your Prayer Handled?
*
Please select all that apply.
Confidential request (staff-only)
Share this with our prayer team
Share anonymously (no name/details) during corporate prayer?
Follow-Up Request
Would you like someone to contact you?
Please select one option.
Yes
No
If Yes, what is the best time to reach you?
Preferred Contact Method (if contact is requested)
Please select one option.
Email
Phone
Text
Select Option
Email
Phone
Text
Consent
I understand this request will be used for prayer and follow-up if requested.
*
Please select one option.
Yes
Submit
Description
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