Info/Prayer Card | The Rock IPHC

Use this form to let us know about decisions or prayer requests, or to let us know you're here. Please complete the following fields, then click Submit.

Name (Required)

Email Address (Required)

Spouse Name (If Married)

I am a:

First Time Guest

Second Time Guest

Regular Attendant

Member

Teen 12-19

Young Adult 20-29

Adult 30-59

Adult 60 and older

Prayer Requests

How can we pray for you?

My Decision Today: I want to...

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

Get baptized

Renew my commitment to Christ

Become a member

Speak with pastor

Dedicate my child

Find out where and how I can serve in the church

Would like a phone call

Questions? Comments?

The Rock IPHC

PO Box 1985 Princeton WV 24740
109 Highland Avenue Princeton WV 24740

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