Service Attended *

Hillside 8:30 AM

Cornerstone 9:45 AM

Traditional 11:00 AM

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Are you a 1st or 2nd time guest?

1st

2nd

I've been attending.

I HAVE DECIDED

to accept Jesus as my Savior.

to rededicate my life to Jesus Christ.

to be baptized.

to join Memorial UMC.

I REQUEST PRAYER FOR

I have permission for this to be placed on our prayer list. (If you do not have permission it will be placed on our prayer list as "unspoken"). Prayers remain on the prayer list for 1 month.

This prayer request is only for Prayer Team and Pastors to see.

Your Name

Name of person requesting prayer

First Name

Last Name

Address of person for which you are requesting prayer:

Enter an address if you would like for us to send a card.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I would like information about

Children's Ministry

Youth Ministry

Community Groups

Sunday School

Outreach Opportunities

Church Events