Close and Return to Website 

Request a Prayer

Prayer request information

(R) = Required information
Name of the person to be prayed for  
(R)
Purpose of Prayer
(R)
 

Your Personal Details
Name
(R) 		Address
(R)
City
(R) 		State
Postal/Zip Code
Country
(R)
Phone

Fax
E mail
(R) 		 
 

I would like to make a small voluntary offering (Optional)

I will offer by Credit Card. I will send a Draft of Personal Check

After submitting this form you will be able to make a secure on-line payment through the FPMT credit card facility.

Contact me about the best way to make an offering

Offering Amount in US$

You will receive an e-mail confirmation outlining your payment details. Please print this e-mail and post it along with your draft or check to the below address. Please make payable to"FPMT inc" in US dollars. Personal checks can only be sent by US residents.

FPMT Inc
1632 SE 11th Avenue,
Portland OR 97214-4702
USA
Phone 1 + 503.808.1588
fax 1+ 503.808.1589
 


This will not submit your data.
You will be able to preview and confirm your entry before submitting