Submit a Prayer Request

Salem's Prayer Committee and prayer partners are ready to lift your needs up in prayer. Urgent prayer requests will be emailed to the committee and partners separately from the prayer list on the day of the request. If your request is confidential (Prayer Committee and Pastor only), please indicate that in your request.

First name:*

Last name:*

Email:*

Phone:

How Can We Pray For You?*

Would You Like Us To Send The Individual(s) Being Prayed For a Note Of Encouragement From Our Prayer Team?*

Send a Card?

When you submit this form, your information is viewed by Staff only. Do you give us permission to share your prayer request on our weekly prayer list?*