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REQUEST A VISIT

 

If you desire a visit from one of our Pastors, please complete and submit the form below or call the church office at (718) 622-1818 and speak with our receptionist. We will be sure to address your needs properly and in a timely manner.

 

 

First Name:
Last Name:
Address:
City:
State:
Zip Code
Phone Number:
Email Address:
Are you requesting this visit for yourself?
If no, please give us the name of the person you would like us to visit:
Is this a:
Address of Location:
Location City:
Location State:
Best time to visit:
*