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Contact Information
phone: (804) 262-7104
fax: (804) 266-7127
events hotline: (804) 515-5860
24/7 prayer line: 866-faith-21
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Name of Person needing ministry:
Are they a member: Yes No
Department they work in:
Address:
City:
State: Zip:
Home Phone:
Work Phone:
Mobile Phone:
Please list any children and their ages:
Hospital and Room #:
(if applicable)
Information taken by:
Details of Ministry Needed:
Ministry Needed: Family Member
Abuse: Marital/Substance
Meals Needed
Evangelistic
Bereavement
Hospital
Family/Relationship
Financial (call church office: 804-262-7104)
Ministry or follow up given by your department: