Prayer Request

Date *

Your Name (Optional)

Phone (If you would like a call-back)

Email (If you would like a response)

Prayer Request and/or Praise Report *

Feel free to be as detailed as you would like. If you would like this to be passed on to the prayer chain email, please indicate so below. If you would like this to remain anonymous, please indicate so below.

Prayer Chain Addition Please DO add this to the prayer chain.
Please DO NOT add this to the prayer chain.

Salem Lutheran's prayer chain is an email listing of prayer requests sent to a specific group of individuals dedicated to praying for and with the requests made.

Anonymity I prefer to keep this request ANONYMOUS.

Contact Information:

Sunday Worship: