Page 4 | Crown Alliance Church

Use this form to let us know your connection to this church, any prayer request you may have, any decisions you made today and/or personal requests.

Then click Submit.

Name (Required)

Email Address (Required)

Your Name: (Required)

Let Us Know If You Made A Decision Today

Commit my life to Jesus

Re-commitmed my life to Christ

Get baptized

Become a member

Join a small group

Prayer Requests

How can we pray for you? Is this a new, updated or answered prayer? Please specify your name or the person prayed for if not yourself, and the details of prayer. Please note if confidential or simply write unspoken.

I am a

First Time Guest

Second Time Guest

Regular Attender

Member

Family of Attender or Member

I am interested in

What it means to be a Christian

Pastor G or Denise contact me:

Volunteering

Crown Alliance Church

1 Bellevue Ave
Cortland, NY 13045

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