Prayer Request

Prayer Request
Pray For:
Date:
Is this person a Christian?	Yes No Unknown
If you would like this person to receive a note of encouragement, please provide their address:
Street Address:
City, State, Zip:
This request is private - to be prayed for only by Prayer Room Intercessors & Pastoral Staff. This request is public - to be published for church-wide prayer.
Your Name:
Email:
Phone Number where we can leave a message:
Street Address:
City, State, Zip:
Due to the number of requests we receive, your request will be cleared from the Prayer List in 30 days unless you provide us a way to contact you. Please update your request as needed by email (prayer@burnthickory.com) or by calling (770) 590-0366.

Type Prayer Request Here: