Prayer Request - The Potter's House Church UPCI

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PRAYER REQUEST FORM

Name

First

Last

Email

Prayer Request

[email protected]
608.325.5033
W6540 Smock Valley Rd, Monroe, WI 53566 | P.O Box 123 Monroe WI

Sunday Service 10 am | Wednesday Night Bible Study 7 pm |
Prayer Sunday night 6 pm

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Home
About
Watch Live
Events
Give

Home
About
Watch Live
Events
Give

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Sweetheart Banquet RSVP

Name *

First

Last

Email *

How many guests will you be bringing *

Are you bringing any children (under 10)? *

Yes
No

How many children will you be bringing? *

What would you like for your main course? *

Beef Tenderloin
Chicken Breast

Guest's Name *

First

Last

What would your guest like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 2 *

First

Last

What would your guest (2) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 3 *

First

Last

What would your guest (3) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 4 *

First

Last

What would your guest (4) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 5 *

First

Last

What would your guest (5) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 6 *

First

Last

What would your guest (6) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 7 *

First

Last

What would your guest (7) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 8 *

First

Last

What would your guest (8) like for their main course? *

Beef Tenderloin
Chicken Breast

Guest's Name 9 *

First

Last

What would your guest (9) like for their main course? *

Beef Tenderloin
Chicken Breast

Payment Option *

Pay In-Person
Venmo

Total

$0.00