Prayer Request Form (non-emergency)

For Emergency Prayer, please call: Church Office: 412 672-7289,
Pastor Bruce Mould: 412 672-8453, parsonage, or Pastor Jody Dausey: 412 233-4588, residence.

Prayer Request Forms are forwarded to Pastor and Church Secretary.
They will be checked once daily, Monday through Friday.
Request forms submitted after noon Friday may not be checked until Monday.

Please tell us how you want us to pray for you
and what level of confidentiality you wish.
We will not honor unidentified prayer requests.

Prayer Request:

Prayer Type:

Confidentiality:

You may select multiple items from each box through holding down the Ctrl key while clicking.

Contact Information:

Name
Street, Apt. Address
City
State
ZIP
Telephone
Email

* name required

Thanksgiving and Praise.
Guidance.
Forgiveness.
Intercession.
Healing, physical.
Healing, relationships.

Freely shared.
For Prayer Circle.
For Healing Service.
For Sunday Services.
Anonymous: prayer shared, names withheld.
Strict Confidentiality, Pastors only.

Prayer Request Form (non-emergency)

Please tell us how you want us to pray for you and what level of confidentiality you wish. We will not honor unidentified prayer requests.

Contact Information:

Web site designed and maintained by The Hanko Family.Send mail to webmaster@pvchurch.com with questions or comments about this web site.Last modified: 02/23/07

Please tell us how you want us to pray for you
and what level of confidentiality you wish.
We will not honor unidentified prayer requests.

Web site designed and maintained by The Hanko Family.
Send mail to webmaster@pvchurch.com with questions or comments about this web site.
Last modified: 02/23/07