The Telogia Assembly of God pastors and Prayer Team would love to pray for you! 
Note: after the survey is submitted, you will land on a default ending page.  If you arrived to this form via our website, you can use your browser back buttons to easily return to the Telogia Assembly of God website.  

1.Your name:

2.Your email address:

*3.Your prayer request:(Required.)

*4.May we share your request with our dedicated prayer team?(Required.)

Yes

No