Prayer & Praise

First Name

Last Name

Email

Phone Number

Date:

Is VICTORY your home church?

Would you like to keep this submission anonymous?

Yes

No

Would you like a team member from Victory to contact you?

Yes

No

How would you prefer us to contact you?

Email

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No Preference

Prayer Request

How can we be praying for you? Type your request here:

Tell us what God has done in your life! Share it here: