Nature’s e-Chapel
PRAYER REQUEST

INSTRUCTIONS:

1. Copy or print this form from your computer.
2. Complete the form. All lines are required.
3. Include a tax-exempt donation to Healing Cove, Inc. It may be in US$ cash or check.
4. Mail 2 & 3 by postal service to Nature’s e-Chapel, P.O. Box 544, Rabun Gap, Ga. 30568
5. Upon receipt of your request, we will email you a receipt number for your donation, and a prayer for your consideration and the prayer we will include in our daily prayer box for the next 30 days. We will be praying with you, and whenever you do anything for 30 days it becomes a habit.
6. You may send in a request for someone else, so be sure to use their first name in your request of the person you want prayers for.
7. If you need a copy of the tax-exempt IRS declaration check the appropriate box on the form.

First name only of the person the prayer is for:__________________________.

Your e-mail address:________________________________________________

Description of challenge you are requesting a prayer. The more complete description the more specific will be the positive guidance will be the results. _____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

If you are requesting for someone else your full name for receipt_________________

Check if you need a copy of the IRS Charitable Contributions form _______