Name *

i.e., John Doe, John and Jane Doe, or organization name.

First Name

Last Name

How would you like us to communicate with you? *

Email only

Hardcopy only (US Postal Service only)

Both Email and Paper Letters

Phone

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

OPTIONAL: Are you interested in becoming a Daily Prayer Partner?

If so, please visit and sign up at: https://www.welchfamilyministry.com/prayer-challenge

Yes, I commit to pray daily for this ministry.