Purchase Order Form

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To notify us of a prayer request, please fill out our form, or call the church office at 232-1371.

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Name*
First Name Last Name
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Cell Phone
Phone
St. Luke's Campus*
Online Worship Service:*
Downtown Campus Service (in-person):*
Edmond Campus Service (in-person):*
Member Status*
- 1st Time Guest
- 2nd Time Guest
- Regular Guest
- St. Luke's Member
Number
Number of People Worshiping With You Today? Enter 1 if only you.
Names of People Worshipping With You Today:
Please Contact Me About:
- Prayer Request
- Becoming a Member
- Other
Prayer Request
Please let us know what we can be praying for.
Comments
This field is for validation purposes and should be left unchanged.